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General NPI Number Information
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NPI Number | 1578171260
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Entity Type | Individual
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Provider Name | MATHEW MAZO REYNOLDS
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Gender | Male
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Dates
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Enumeration Date | 07/19/2020
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 10039 VINE ST
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City | LAKESIDE
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State | CA
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Zip | 92040-3120
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Country | US
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Telephone | 833-867-4642
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Fax |
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Provider Business Mailing Address
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Address Line | 10039 VINE ST
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City | LAKESIDE
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State | CA
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Zip | 92040-3120
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Country | US
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Telephone | 833-867-4642
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-10323
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 61945
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License Number State | CA
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