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General NPI Number Information
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NPI Number | 1346745080
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Entity Type | Individual
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Provider Name | DANNY STEPHEN REID
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Gender | Male
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 557 RIDGE RD
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City | TROUTVILLE
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State | VA
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Zip | 24175-6371
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Country | US
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Telephone | 540-992-3669
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Fax | 540-344-5556
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Provider Business Mailing Address
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Address Line | 557 RIDGE RD
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City | TROUTVILLE
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State | VA
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Zip | 24175-6371
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Country | US
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Telephone | 540-992-3669
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Fax | 540-344-5556
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number | 24701
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License Number State | VA
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