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General NPI Number Information
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NPI Number | 1124217468
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Entity Type | Individual
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Provider Name | MS. HOPE ANNE REAGAN
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Gender | Female
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 401 S QUEEN ST BERKELEY COUNTY BOARD OF EDUCATION
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City | MARTINSBURG
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State | WV
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Zip | 25401-3233
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Country | US
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Telephone | 304-267-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 649 FRONT ROYAL PIKE
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City | WINCHESTER
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State | VA
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Zip | 22602-7323
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Country | US
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Telephone | 540-662-1816
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | IP21012
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License Number State | WV
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