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General NPI Number Information
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NPI Number | 1346551363
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Entity Type | Organization
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Legal Business Name | DOC TO YOUR DOOR PA
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 07/07/2010
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Provider Practice Location Address
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Address Line | 101 KEY HAVEN RD
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City | KEY WEST
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State | FL
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Zip | 33040-6221
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Country | US
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Telephone | 305-890-6425
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Fax | 888-380-6597
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Provider Business Mailing Address
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Address Line | 101 KEY HAVEN RD
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City | KEY WEST
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State | FL
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Zip | 33040-6221
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Country | US
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Telephone | 305-890-6425
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Fax | 888-380-6597
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Authorized Official
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Title or Position | DR
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Name | DR. MATTHEW THOMAS REID
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Credential | DO
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Telephone | 305-890-6425
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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 | OS9716
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License Number State | FL
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