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General NPI Number Information
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NPI Number | 1891173340
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Entity Type | Organization
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Legal Business Name | DEPENDENCY RELIEF SPECIALISTS
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Dates
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Enumeration Date | 05/15/2015
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 1452 N HIGLEY RD SUITE 101
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City | GILBERT
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State | AZ
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Zip | 85234-1610
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Country | US
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Telephone | 623-262-3514
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Fax | 480-275-3538
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Provider Business Mailing Address
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Address Line | 1452 N HIGLEY RD SUITE 101
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City | GILBERT
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State | AZ
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Zip | 85234-1610
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Country | US
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Telephone | 623-262-3514
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Fax | 480-275-3538
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAWRENCE ROBERT READER
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Credential | MD
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Telephone | 623-262-3514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State | AZ
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