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General NPI Number Information
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NPI Number | 1497198766
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Entity Type | Individual
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Provider Name | REID ALEC CHRISTIE D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 41 BUTTRICK RD STE 5
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City | LONDONDERRY
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State | NH
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Zip | 03053-3367
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Country | US
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Telephone | 317-753-5117
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Fax |
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Provider Business Mailing Address
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Address Line | 7 TROLLEY CAR LN
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City | LONDONDERRY
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State | NH
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Zip | 03053-2932
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Country | US
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Telephone | 317-753-5117
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | NH0358
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License Number State | NH
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