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General NPI Number Information
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NPI Number | 1780982876
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Entity Type | Organization
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Legal Business Name | STUART G REEVES DPM
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Dates
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Enumeration Date | 03/14/2011
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Last Update Date | 03/14/2011
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Provider Practice Location Address
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Address Line | 902 FLORIN RD STE A
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City | SACRAMENTO
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State | CA
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Zip | 95831-3590
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Country | US
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Telephone | 916-395-1800
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Fax | 916-395-5733
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Provider Business Mailing Address
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Address Line | 902 FLORIN RD STE A
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City | SACRAMENTO
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State | CA
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Zip | 95831-3590
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Country | US
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Telephone | 916-395-1800
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Fax | 916-395-5733
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Authorized Official
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Title or Position | OWNER
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Name | MR. STUART G REEVES
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Credential | DPM
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Telephone | 916-395-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | E4006
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License Number State | CA
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