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General NPI Number Information
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NPI Number | 1891394821
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Entity Type | Individual
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Provider Name | MANDY LYNN REED FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1100 GOETHALS DR STE B
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City | RICHLAND
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State | WA
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Zip | 99352-3301
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Country | US
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Telephone | 509-942-3062
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Fax | 509-942-3085
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Provider Business Mailing Address
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Address Line | 1100 GOETHALS DR STE B
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City | RICHLAND
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State | WA
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Zip | 99352-3301
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Country | US
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Telephone | 509-942-3062
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Fax | 509-942-3085
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704293231
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704293231
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 904687
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP70015644
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License Number State | WA
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