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General NPI Number Information
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NPI Number | 1285924043
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Entity Type | Individual
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Provider Name | JENNIFER ANN REED MD
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Gender | Female
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 1600 W 22ND ST
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City | SIOUX FALLS
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State | SD
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Zip | 57105-1521
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Country | US
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Telephone | 605-312-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91407
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City | SIOUX FALLS
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State | SD
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Zip | 57109-1407
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Country | US
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Telephone | 605-312-7608
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 9231
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License Number State | SD
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