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General NPI Number Information
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NPI Number | 1063504710
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Entity Type | Individual
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Provider Name | CHERYL REINHARDT M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 01/14/2013
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Provider Practice Location Address
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Address Line | 5865 NEW CALHOUN HWY NE
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City | ROME
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State | GA
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Zip | 30161-8253
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Country | US
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Telephone | 706-295-1184
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Fax | 706-236-1919
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Provider Business Mailing Address
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Address Line | PO BOX 975
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City | SHANNON
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State | GA
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Zip | 30172-0975
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Country | US
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Telephone | 706-295-1184
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Fax | 706-236-1919
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25079
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License Number State | OK
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