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General NPI Number Information
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NPI Number | 1801858188
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Entity Type | Individual
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Provider Name | JOSEPH WILLIAM REARDON III MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 03/29/2010
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Provider Practice Location Address
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Address Line | 406 RODGERS DR
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City | SEARCY
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State | AR
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Zip | 72143-7433
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Country | US
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Telephone | 501-279-7979
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Fax | 501-305-3535
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Provider Business Mailing Address
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Address Line | PO BOX 497
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City | AUGUSTA
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State | AR
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Zip | 72006-0497
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Country | US
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Telephone | 870-347-2534
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Fax | 870-347-3492
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01052011A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-6132
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License Number State | AR
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