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General NPI Number Information
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NPI Number | 1801887443
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Entity Type | Individual
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Provider Name | DANITA A REESE MD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 702 PLANK RD
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City | SOUTH HILL
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State | VA
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Zip | 23970-2414
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Country | US
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Telephone | 434-447-3395
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Fax | 434-447-4979
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Provider Business Mailing Address
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Address Line | PO BOX 357 702 PLANK ROAD
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City | SOUTH HILL
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State | VA
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Zip | 23970-0357
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Country | US
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Telephone | 434-447-3395
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Fax | 434-447-4979
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103000943
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License Number State | VA
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