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General NPI Number Information
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NPI Number | 1740213354
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Entity Type | Individual
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Provider Name | REED MATTHEW VANMATRE MD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 09/24/2023
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Provider Practice Location Address
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Address Line | 3400 WAKE FOREST RD
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City | RALEIGH
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State | NC
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Zip | 27609-7317
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Country | US
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Telephone | 919-681-6493
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Fax |
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Provider Business Mailing Address
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Address Line | DEPARTMENT OF ANESTHESIOLOGY - DUKE UNIVERSITY 106 BAKER HOUSE, MS #34, DUMC 3094
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City | DURHAM
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State | NC
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Zip | 27710
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Country | US
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Telephone | 919-681-6493
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 200301185
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License Number State | NC
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