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General NPI Number Information
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NPI Number | 1568646438
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Entity Type | Organization
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Legal Business Name | REID'S ENTERPRISES
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 464 LAYSIDE DR
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City | WINCHESTER
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State | VA
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Zip | 22602-2123
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Country | US
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Telephone | 540-662-6457
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Fax |
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Provider Business Mailing Address
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Address Line | 464 LAYSIDE DR
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City | WINCHESTER
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State | VA
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Zip | 22602-2123
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Country | US
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Telephone | 540-662-6457
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENNETH L REID JR.
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Credential | BLDG CONTRACTOR
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Telephone | 540-662-6457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 2701033372A
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License Number State | VA
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