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General NPI Number Information
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NPI Number | 1982821674
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Entity Type | Organization
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Legal Business Name | MEDSERVCO, INC.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2500 OLD CROW CANYON RD SUITE 216
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City | SAN RAMON
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State | CA
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Zip | 94583-1623
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Country | US
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Telephone | 925-736-7764
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Fax | 925-838-2910
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Provider Business Mailing Address
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Address Line | 4115 BLACKHAWK PLAZA CIR SUITE 100
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City | DANVILLE
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State | CA
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Zip | 94506-4901
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Country | US
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Telephone | 925-736-7764
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Fax | 925-838-2910
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD REED
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Credential |
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Telephone | 925-736-7764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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