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General NPI Number Information
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NPI Number | 1801241757
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Entity Type | Individual
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Provider Name | DUSTIN REYNOLDS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 70 S CLEVELAND AVE
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City | WESTERVILLE
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State | OH
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Zip | 43081-1397
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Country | US
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Telephone | 614-618-8897
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Fax |
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Provider Business Mailing Address
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Address Line | 70 S CLEVELAND AVE
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City | WESTERVILLE
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State | OH
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Zip | 43081-1397
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Country | US
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Telephone | 614-618-8897
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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 | 35.142722
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 35.142722
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License Number State | OH
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