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General NPI Number Information
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NPI Number | 1538524566
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Entity Type | Organization
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Legal Business Name | DAVID ASHTON REED, MD INTERNAL MEDICINE LLC
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Dates
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Enumeration Date | 12/17/2015
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Last Update Date | 12/17/2015
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Provider Practice Location Address
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Address Line | 600 E GLORIA SWITCH RD
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City | LAFAYETTE
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State | LA
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Zip | 70507-2512
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Country | US
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Telephone | 337-235-6211
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Fax | 337-235-0852
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Provider Business Mailing Address
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Address Line | 600 E GLORIA SWITCH RD
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City | LAFAYETTE
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State | LA
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Zip | 70507-2512
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Country | US
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Telephone | 337-235-6211
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Fax | 337-235-0852
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID ASHTON REED
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Credential | M.D.
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Telephone | 337-235-6211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.300652
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License Number State | LA
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