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General NPI Number Information
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NPI Number | 1922531714
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Entity Type | Individual
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Provider Name | ALAN WILLIAM WARNER REYNOLDS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 200 W WENDOVER AVE
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City | GREENSBORO
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State | NC
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Zip | 27401-1307
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Country | US
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Telephone | 609-356-4490
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Fax |
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Provider Business Mailing Address
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Address Line | 900 HOBBS RD APT 434
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City | GREENSBORO
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State | NC
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Zip | 27410-5016
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Country | US
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Telephone | 336-333-6443
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Fax |
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 2023-02455
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License Number State | NC
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