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General NPI Number Information
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NPI Number | 1013911494
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Entity Type | Individual
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Provider Name | PAMELA JEAN REITNAUER MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1200 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1004
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Country | US
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Telephone | 336-832-8060
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Fax | 336-832-7893
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Provider Business Mailing Address
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Address Line | 1200 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1004
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Country | US
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Telephone | 336-832-8060
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Fax | 336-832-7893
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 36251
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207SG0205X
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Taxonomy Name | Ph.D. Medical Genetics Physician
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License Number | 36251
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 36251
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License Number State | NC
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