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General NPI Number Information
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NPI Number | 1184229239
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Entity Type | Individual
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Provider Name | REECHA REISING AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 1208 E CROSS ST
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City | CENTERVILLE
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State | IA
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Zip | 52544-3501
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Country | US
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Telephone | 641-255-1577
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Fax |
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Provider Business Mailing Address
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Address Line | 3120 146TH ST
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City | URBANDALE
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State | IA
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Zip | 50323-2448
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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 |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | H160638
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License Number State | IA
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