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General NPI Number Information
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NPI Number | 1235577388
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Entity Type | Organization
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Legal Business Name | DANIEL S REICH MD GASTROENTEROLOGY PLLC
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 5500 BROADWAY
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City | BRONX
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State | NY
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Zip | 10463-5238
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Country | US
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Telephone | 718-548-7900
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Fax | 718-548-8900
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Provider Business Mailing Address
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Address Line | PO BOX 298
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-0298
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Country | US
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Telephone | 917-587-1195
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL S REICH
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Credential | M.D.
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Telephone | 917-587-1195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 226732
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License Number State | NY
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