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NPI 1588628820

NPI 1588628820 : CHRISTOPHER ANDREW REEDER DO : DAYTON, OH

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General NPI Number Information
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    NPI Number           |    1588628820
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER ANDREW REEDER DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/13/2006
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    Last Update Date     |    09/16/2013
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Provider Practice Location Address
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    Address Line         |    6728 LOOP RD BLDG 5, SUITE 301
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45459-2196
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    Country              |    US
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    Telephone            |    937-438-5333
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    Fax                  |    937-438-0160
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Provider Business Mailing Address
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    Address Line         |    6728 LOOP RD BLDG 5, SUITE 301
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45459-2196
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    Country              |    US
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    Telephone            |    937-438-5333
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    Fax                  |    937-438-0160
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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        |    2086S0122X
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    Taxonomy Name        |    Plastic and Reconstructive Surgery Physician
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    License Number       |    31005419R
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    License Number State |    OH
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