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General NPI Number Information
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NPI Number | 1447555073
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Entity Type | Individual
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Provider Name | JENNY E REID
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Gender | Female
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2325 GARFIELD RD N
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-5178
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Country | US
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Telephone | 231-922-4630
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Fax | 231-922-2719
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Provider Business Mailing Address
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Address Line | 2325 GARFIELD RD N
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-5178
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Country | US
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Telephone | 231-922-4630
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Fax | 231-922-2719
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704223654
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License Number State | MI
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