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General NPI Number Information
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NPI Number | 1881684041
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Entity Type | Individual
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Provider Name | ALEXANDER BRUCE REID MD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 12/28/2012
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Provider Practice Location Address
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Address Line | 717 S 8TH ST
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City | GRIFFIN
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State | GA
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Zip | 30224-4818
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Country | US
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Telephone | 770-227-4600
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Fax | 770-227-9624
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Provider Business Mailing Address
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Address Line | 717 S 8TH ST
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City | GRIFFIN
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State | GA
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Zip | 30224-4818
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Country | US
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Telephone | 770-227-4600
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Fax | 770-227-9624
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 056944
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License Number State | GA
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