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General NPI Number Information
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NPI Number | 1750394227
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Entity Type | Individual
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Provider Name | DREW AUBREY REESE D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 14800 W MOUNTAIN VIEW BLVD STE 160
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City | SURPRISE
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State | AZ
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Zip | 85374-2700
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Country | US
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Telephone | 623-584-3376
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Fax | 623-584-3375
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Provider Business Mailing Address
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Address Line | 14800 W MOUNTAIN VIEW BLVD STE 160
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City | SURPRISE
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State | AZ
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Zip | 85374-2700
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Country | US
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Telephone | 623-584-3376
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Fax | 623-584-3375
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | O-1070
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | DO150367
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | OP60762580
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 008872
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License Number State | AZ
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