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General NPI Number Information
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NPI Number | 1316076904
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Entity Type | Individual
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Provider Name | VIRGINIA ANN REESER PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 18 N CAVALIER DR
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City | ALAMO
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State | TN
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Zip | 38001-6468
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Country | US
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Telephone | 724-773-1941
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Fax | 724-773-8370
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Provider Business Mailing Address
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Address Line | 18 N CAVALIER DR
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City | ALAMO
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State | TN
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Zip | 38001-6468
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Country | US
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Telephone | 731-696-4500
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA001464L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA000005477
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License Number State | TN
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