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3 |
Reed, Jody |
01/29/1971 |
Complete credentialing Packet |
Open
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11 |
Reed, Jody |
01/29/1971 |
State Release |
Open
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27 |
Reed, Jody |
01/29/1971 |
Licensed Physician Controlled Substance |
Open
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07/31/2023 |
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PDF
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4 |
Reed, Jody |
01/29/1971 |
DEA |
Open
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04/30/2022 |
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jodyreed@physiciancare.net |
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PDF
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12 |
Reed, Jody |
01/29/1971 |
Photograph |
Open
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PDF
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29 |
Reed, Jody |
01/29/1971 |
Licensed Physician and Surgeon |
Open
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07/31/2023 |
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Jodyreed@physiciancare.net |
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PDF
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5 |
Reed, Jody |
01/29/1971 |
Driving Licence |
Open
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PDF
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13 |
Reed, Jody |
01/29/1971 |
State ID |
Open
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PDF
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30 |
Reed, Jody |
01/29/1971 |
PROFESSIONAL / LIABILITY |
Open
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11/08/2021 |
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Iqra@physiciancare.net |
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PDF
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6 |
Reed, Jody |
01/29/1971 |
Certificate of Residency |
Open
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14 |
Reed, Jody |
01/29/1971 |
Illinicare Disclosure of Ownership |
Open
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7 |
Reed, Jody |
01/29/1971 |
Copy Of Diploma |
Open
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PDF
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15 |
Reed, Jody |
01/29/1971 |
VOID CHQ |
Open
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8 |
Reed, Jody |
01/29/1971 |
Internship |
Open
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16 |
Reed, Jody |
01/29/1971 |
Provider Information Sheet |
Open
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9 |
Reed, Jody |
01/29/1971 |
Roseland Credentialling Application |
Open
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25 |
Reed, Jody |
01/29/1971 |
CIGNA ERA ENROLLMENT FORM |
Open
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1 |
Reed, Jody |
01/29/1971 |
Mal practice Insurance |
Open
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11/08/2020 |
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jodyreed@physiciancare.net |
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PDF
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10 |
Reed, Jody |
01/29/1971 |
Resume |
Open
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PDF
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18 |
Reed, Jody |
01/29/1971 |
EFT Setup signed forms |
Open
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26 |
Reed, Jody |
01/29/1971 |
LICENSED PHYSICIAN AND SURGEON |
Open
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09/30/2020 |
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PDF
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19 |
Wanyana, Christine |
04/28/1980 |
APN License |
Open
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PDF
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20 |
Wanyana, Christine |
04/28/1980 |
APN Controlled License |
Open
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PDF
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21 |
Wanyana, Christine |
04/28/1980 |
CNP Certificate |
Open
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PDF
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22 |
Wanyana, Christine |
04/28/1980 |
Resume |
Open
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PDF
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23 |
Wanyana, Christine |
04/28/1980 |
Professional Liability Insurance |
Open
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08/09/2020 |
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PDF
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24 |
Wanyana, Christine |
04/28/1980 |
DEA Certificate |
Open
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05/31/2023 |
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PDF
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17 |
Wanyana, Christine |
04/28/1980 |
DEA |
Open
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05/31/2023 |
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