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General NPI Number Information
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NPI Number | 1205869245
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Entity Type | Individual
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Provider Name | FREDERICK KARL REINBOLD D.M.D., M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2000 ABBOTT RD STE 200
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City | ANCHORAGE
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State | AK
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Zip | 99507-3867
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Country | US
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Telephone | 907-562-9939
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Fax | 907-562-9929
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Provider Business Mailing Address
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Address Line | 2000 ABBOTT RD STE 200
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City | ANCHORAGE
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State | AK
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Zip | 99507-3867
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Country | US
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Telephone | 907-562-9939
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Fax | 907-562-9929
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 977
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 4263
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License Number State | AK
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