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General NPI Number Information
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NPI Number | 1033382825
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Entity Type | Individual
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Provider Name | MARK EDWARD REINHARDT PT
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Gender | Male
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Dates
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Enumeration Date | 04/11/2008
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | N3708 RIVER AVE
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City | NEILLSVILLE
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State | WI
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Zip | 54456-7218
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Country | US
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Telephone | 715-743-3101
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Fax | 715-743-6245
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Provider Business Mailing Address
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Address Line | N3708 RIVER AVE
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City | NEILLSVILLE
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State | WI
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Zip | 54456-7218
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Country | US
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Telephone | 715-743-3101
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Fax | 715-743-6245
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4613-24
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License Number State | WI
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