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General NPI Number Information
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NPI Number | 1982334264
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Entity Type | Individual
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Provider Name | WENDY LEE REDDING
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Gender | Female
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 909 GORMAN AVE STE 6
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City | ELKINS
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State | WV
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Zip | 26241-3100
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Country | US
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Telephone | 304-637-3630
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Fax | 304-637-5650
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Provider Business Mailing Address
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Address Line | 909 GORMAN AVE STE 6
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City | ELKINS
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State | WV
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Zip | 26241-3100
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Country | US
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Telephone | 304-637-3630
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Fax | 304-637-5650
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 002555
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License Number State | WV
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