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General NPI Number Information
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NPI Number | 1669651329
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Entity Type | Organization
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Legal Business Name | DRS. REEVES & SMITH, PC
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 3614 J DEWEY GRAY CIR STE A
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City | AUGUSTA
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State | GA
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Zip | 30909-6512
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Country | US
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Telephone | 706-863-5635
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Fax |
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Provider Business Mailing Address
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Address Line | 3614 J DEWEY GRAY CIR STE A
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City | AUGUSTA
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State | GA
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Zip | 30909-6512
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Country | US
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Telephone | 706-863-5635
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. DALE P. FOX
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Credential |
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Telephone | 706-863-5635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 012129
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License Number State | GA
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