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General NPI Number Information
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NPI Number | 1801817861
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Entity Type | Organization
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Legal Business Name | REDDI ENTERPRISES INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 1412 SW 43RD ST STE 120
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City | RENTON
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State | WA
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Zip | 98057-4803
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Country | US
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Telephone | 425-251-6335
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Fax | 425-251-6337
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Provider Business Mailing Address
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Address Line | 1412 SW 43RD ST STE 120
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City | RENTON
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State | WA
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Zip | 98057-4803
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Country | US
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Telephone | 425-251-6335
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Fax | 425-251-6337
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDERSON JOLLY
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Credential |
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Telephone | 425-251-6335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHAR.CF.00058343
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License Number State | WA
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