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General NPI Number Information
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NPI Number | 1023267663
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Entity Type | Organization
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Legal Business Name | HAROLD K REICH'S PHARMACY
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Dates
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Enumeration Date | 09/18/2008
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 1940 N TRACY BLVD
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City | TRACY
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State | CA
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Zip | 95376-2423
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Country | US
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Telephone | 209-834-1383
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Fax | 888-397-7890
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Provider Business Mailing Address
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Address Line | 39 W 10TH ST
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City | TRACY
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State | CA
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Zip | 95376-3901
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Country | US
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Telephone | 209-835-1832
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Fax | 209-835-0704
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Authorized Official
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Title or Position | PRESIDENT/TREASURER
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Name | DR. HAROLD KEITH REICH
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Credential | DPH
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Telephone | 209-834-1383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PHY45237
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License Number State | CA
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