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General NPI Number Information
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NPI Number | 1417995317
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Entity Type | Individual
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Provider Name | KEVIN H REED MD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 1011 14TH AVE NW
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City | ARDMORE
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State | OK
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Zip | 73401-1828
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Country | US
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Telephone | 580-220-6132
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Fax | 580-220-6772
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Provider Business Mailing Address
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Address Line | 530 N MONTE VISTA ST SUITE A
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City | ADA
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State | OK
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Zip | 74820-4675
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Country | US
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Telephone | 580-436-7101
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Fax | 580-436-4447
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 12645
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 12645
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License Number State | OK
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