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General NPI Number Information
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NPI Number | 1144587528
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Entity Type | Organization
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Legal Business Name | KEVIN R REINERS DDS PC
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 1745 N 86TH ST
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City | LINCOLN
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State | NE
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Zip | 68505-3632
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Country | US
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Telephone | 402-489-8848
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Fax |
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Provider Business Mailing Address
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Address Line | 1745 N 86TH ST
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City | LINCOLN
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State | NE
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Zip | 68505-3632
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KEVIN RAY REINERS
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Credential |
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Telephone | 402-489-8848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6940
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License Number State | NE
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