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General NPI Number Information
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NPI Number | 1528103660
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Entity Type | Organization
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Legal Business Name | WILLIAM U REEVES OD INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 143 E MAIN ST
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City | KENT
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State | OH
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Zip | 44240-2524
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Country | US
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Telephone | 330-678-8079
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Fax |
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Provider Business Mailing Address
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Address Line | 143 E MAIN ST
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City | KENT
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State | OH
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Zip | 44240-2524
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Country | US
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Telephone | 330-678-8079
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. WILLIAM URQUHART REEVES
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Credential | OD
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Telephone | 330-678-8079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 2960
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License Number State | OH
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