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General NPI Number Information
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NPI Number | 1225484124
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Entity Type | Organization
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Legal Business Name | SCOTT P. REINERTH, MS, LMFT, LLC
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 320 E CLAYTON ST SUITE 437
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City | ATHENS
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State | GA
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Zip | 30601-2765
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Country | US
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Telephone | 424-341-5638
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 82363
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City | ATHENS
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State | GA
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Zip | 30608-2363
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Country | US
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Telephone | 706-540-0261
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SCOTT REINERTH
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Credential | LMFT
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Telephone | 706-540-0261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT001417
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License Number State | GA
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