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General NPI Number Information
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NPI Number | 1497755805
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Entity Type | Individual
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Provider Name | DAVID S. REID IV M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 11/16/2018
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Provider Practice Location Address
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Address Line | 35 BILL FRIES DR BLDG E
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City | HILTON HEAD
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State | SC
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Zip | 29926-2731
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Country | US
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Telephone | 843-681-4088
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Fax | 843-689-3742
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Provider Business Mailing Address
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Address Line | 35 BILL FRIES DR BLDG E
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City | HILTON HEAD
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State | SC
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Zip | 29926-2731
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Country | US
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Telephone | 843-681-4088
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Fax | 843-689-3742
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 58471
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 36150
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 036.118809
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 36150
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 58471
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 036.118809
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License Number State | IL
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