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General NPI Number Information
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NPI Number | 1962108787
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Entity Type | Organization
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Legal Business Name | REID PHYSICIAN ASSOCIATES, INC
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 386 SYMMES CENTER DR STE 3
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City | WINCHESTER
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State | IN
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Zip | 47394-9404
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Country | US
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Telephone | 765-854-6445
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Fax | 765-584-6446
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Provider Business Mailing Address
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Address Line | 1100 REID PKWY
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City | RICHMOND
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State | IN
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Zip | 47374-1157
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Country | US
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Telephone | 765-983-3127
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MISTY NASH
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Credential |
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Telephone | 765-983-3127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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