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General NPI Number Information
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NPI Number | 1558946780
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Entity Type | Individual
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Provider Name | DAVID SCOTT REESE
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Gender | Male
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 995 W KENNEDY BLVD STE 41
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City | ORLANDO
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State | FL
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Zip | 32810-6139
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Country | US
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Telephone | 407-575-0806
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Fax |
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Provider Business Mailing Address
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Address Line | 932 ASHINGTON PL
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City | ORLANDO
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State | FL
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Zip | 32804-6905
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Country | US
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Telephone | 407-230-0632
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Fax |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA59455
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License Number State | FL
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