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NPI 1356812663

NPI 1356812663 : JARED REED DPT : NEWPORT NEWS, VA

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General NPI Number Information
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    NPI Number           |    1356812663
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    Entity Type          |    Individual 
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    Provider Name        |    JARED REED DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/13/2018
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    Last Update Date     |    04/11/2025
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Provider Practice Location Address
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    Address Line         |    955 HARPERSVILLE RD 
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    City                 |    NEWPORT NEWS
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    State                |    VA
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    Zip                  |    23601-1085
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    Country              |    US
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    Telephone            |    757-223-1600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2 BARRY LN 
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    City                 |    SCOTIA
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    State                |    NY
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    Zip                  |    12302-3802
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    Country              |    US
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    Telephone            |    518-320-6746
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1386554
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    043916
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    2305217023
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    License Number State |    VA
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