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General NPI Number Information
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NPI Number | 1023307147
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Entity Type | Individual
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Provider Name | MISS CAROLINE HEININGER REUTER
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Gender | Female
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 2300 N CHILDRENS PLZ # 18 CHILDREN'S MEMORIAL HOSPITAL MEDICAL EDUCATION
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City | CHICAGO
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State | IL
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Zip | 60614-3363
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Country | US
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Telephone | 773-880-4302
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Fax |
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Provider Business Mailing Address
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Address Line | 3828 MILITARY RD
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City | ARLINGTON
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State | VA
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Zip | 22207-4834
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Country | US
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Telephone | 571-228-9105
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | IL
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