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General NPI Number Information
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NPI Number | 1548783491
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Entity Type | Organization
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Legal Business Name | REED THERAPIES LLC
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 3815 RIVER CROSSING PKWY STE 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-7766
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Country | US
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Telephone | 317-816-7000
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Fax | 317-816-7001
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Provider Business Mailing Address
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Address Line | 4535 EASTBOURNE DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46226-3368
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Country | US
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Telephone | 317-294-2336
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Fax | 317-816-7001
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Authorized Official
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Title or Position | OWNER
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Name | MR. NATHANIEL DEAN REED
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Credential | LCSW LCAC
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Telephone | 317-294-2336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34005577A
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License Number State | IN
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