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NPI 1346322047

NPI 1346322047 : JAMES M READING : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1346322047
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES M READING
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/20/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    10929 BEECHWOOD DR E 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46280-1222
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    Country              |    US
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    Telephone            |    317-370-0569
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    Fax                  |    317-815-8835
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Provider Business Mailing Address
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    Address Line         |    10929 BEECHWOOD DR E 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46280-1222
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    Country              |    US
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    Telephone            |    317-370-0569
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    Fax                  |    317-815-8835
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    22003639A
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    License Number State |    IN
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