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General NPI Number Information
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NPI Number | 1720222912
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER ERIC REAVES
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Dates
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Enumeration Date | 05/01/2009
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 600 LEIGHTON AVE SUITE B
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City | ANNISTON
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State | AL
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Zip | 36207-5744
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Country | US
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Telephone | 256-238-8877
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Fax | 256-238-8844
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Provider Business Mailing Address
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Address Line | 600 LEIGHTON AVE SUITE B
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City | ANNISTON
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State | AL
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Zip | 36207-5744
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Country | US
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Telephone | 256-238-8877
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Fax | 256-238-8844
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. KATIE D REAVES
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Credential | MS
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Telephone | 205-746-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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