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General NPI Number Information
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NPI Number | 1902842313
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Entity Type | Individual
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Provider Name | RAYMOND R REESE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 2500 N ESPLANADE ST STE 102
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City | CUERO
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State | TX
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Zip | 77954-4723
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Country | US
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Telephone | 361-275-3466
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Fax | 361-275-2431
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Provider Business Mailing Address
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Address Line | 2500 N ESPLANADE ST STE 102
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City | CUERO
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State | TX
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Zip | 77954-4723
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Country | US
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Telephone | 361-275-2463
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Fax | 361-275-2431
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | C9110
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License Number State | TX
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