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General NPI Number Information
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NPI Number | 1891771713
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Entity Type | Individual
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Provider Name | MARK REED D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 1275N ROSE DR 136
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City | PLACENTIA
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State | CA
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Zip | 92870-3919
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Country | US
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Telephone | 714-528-3668
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Fax | 714-528-0739
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Provider Business Mailing Address
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Address Line | 1275N ROSE DR 136
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City | PLACENTIA
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State | CA
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Zip | 92870-3919
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Country | US
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Telephone | 714-528-3668
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Fax | 714-528-0739
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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 | E3696
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License Number State | CA
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