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General NPI Number Information
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NPI Number | 1538359229
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Entity Type | Individual
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Provider Name | WILLIAM HENRY REED MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2007
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Last Update Date | 07/28/2007
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Provider Practice Location Address
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Address Line | 6515 LA JOLLA BLVD
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City | LA JOLLA
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State | CA
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Zip | 92037-6066
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Country | US
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Telephone | 858-459-8600
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Fax | 858-459-7473
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Provider Business Mailing Address
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Address Line | 6515 LA JOLLA BLVD
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City | LA JOLLA
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State | CA
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Zip | 92037-6066
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Country | US
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Telephone | 858-459-8600
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Fax | 858-459-7473
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G27440
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 200400581
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License Number State | NC
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