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General NPI Number Information
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NPI Number | 1326090754
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Entity Type | Individual
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Provider Name | SCOTT REED M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 301 S DIVISION ST
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City | PINEHURST
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State | ID
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Zip | 83850-9767
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Country | US
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Telephone | 208-682-9200
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Fax | 208-682-9300
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Provider Business Mailing Address
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Address Line | 9 MAIN ST UNIT 894
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City | PINEHURST
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State | ID
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Zip | 83850-1435
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Country | US
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Telephone | 208-682-2707
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Fax | 208-682-3108
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M8355
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License Number State | ID
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