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General NPI Number Information
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NPI Number | 1114904455
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Entity Type | Organization
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Legal Business Name | DANIEL S REICH MD INC
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 801 N TUSTIN AVE STE 306
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City | SANTA ANA
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State | CA
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Zip | 92705-3601
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Country | US
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Telephone | 714-543-4880
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Fax | 714-543-4883
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Provider Business Mailing Address
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Address Line | 801 N TUSTIN AVE STE 306
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City | SANTA ANA
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State | CA
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Zip | 92705-3601
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Country | US
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Telephone | 714-543-4880
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Fax | 714-543-4883
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL S REICH
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Credential | MD
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Telephone | 714-543-4880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A30016
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License Number State | CA
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