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General NPI Number Information
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NPI Number | 1609954999
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Entity Type | Organization
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Legal Business Name | MCREYNOLDS & ASSOCIATES
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5515 KIRKWOOD MILLTOWN PLAZA
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City | WILMINGTON
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State | DE
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Zip | 19808
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Country | US
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Telephone | 302-995-7181
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Fax | 302-995-7186
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Provider Business Mailing Address
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Address Line | 5515 KIRKWOOD MILLTOWN PLAZA
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City | WILMINGTON
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State | DE
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Zip | 19808
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Country | US
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Telephone | 302-995-7181
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Fax | 302-995-7186
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWARD W MCREYNOLD
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Credential | MD
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Telephone | 302-994-8860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C10000828
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License Number State | DE
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