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General NPI Number Information
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NPI Number | 1518494335
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Entity Type | Individual
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Provider Name | BREONNA REDING DC
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 10 BEDEL BLVD STE C
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City | BATESVILLE
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State | IN
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Zip | 47006-9118
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Country | US
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Telephone | 812-932-3003
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Fax |
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Provider Business Mailing Address
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Address Line | 23048 POCKET RD
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City | BATESVILLE
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State | IN
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Zip | 47006-9509
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Country | US
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Telephone | 785-527-3850
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Fax | 812-932-3008
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7616
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08003050A
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License Number State | IN
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