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NPI 1669948501

NPI 1669948501 : REID CHRISTIE DPM PLLC : LONDONDERRY, NH

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General NPI Number Information
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    NPI Number           |    1669948501
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    Entity Type          |    Organization 
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    Legal Business Name  |    REID CHRISTIE DPM PLLC 
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Dates
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    Enumeration Date     |    10/18/2018
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    Last Update Date     |    06/07/2019
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Provider Practice Location Address
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    Address Line         |    41 BUTTRICK RD STE 5 
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    City                 |    LONDONDERRY
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    State                |    NH
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    Zip                  |    03053-3367
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    Country              |    US
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    Telephone            |    317-753-5117
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7 TROLLEY CAR LN 
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    City                 |    LONDONDERRY
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    State                |    NH
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    Zip                  |    03053-2932
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    Country              |    US
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    Telephone            |    317-753-5117
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PRACTITIONER
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    Name                 |    DR. REID ALEC CHRISTIE 
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    Credential           |    DPM
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    Telephone            |    317-753-5117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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