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General NPI Number Information
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NPI Number | 1710047824
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Entity Type | Individual
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Provider Name | JASON GREGORY REED O.D.
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 9300 S IH 35 C-100B
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City | AUSTIN
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State | TX
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Zip | 78748-1733
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Country | US
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Telephone | 512-693-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 9208 ROCK CASTLE CV
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City | AUSTIN
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State | TX
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Zip | 78749-4033
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Country | US
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Telephone | 512-382-1635
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6995T
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License Number State | TX
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