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General NPI Number Information
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NPI Number | 1235929381
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Entity Type | Individual
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Provider Name | DOREEN ALEXANDRIA REYES LMT, CAGS
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Gender | Female
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 2 S BRIDGE DR
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City | AGAWAM
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State | MA
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Zip | 01001-2015
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Country | US
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Telephone | 413-388-4477
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Fax |
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Provider Business Mailing Address
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Address Line | 35 SAVORY DR
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City | CHICOPEE
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State | MA
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Zip | 01020-4920
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Country | US
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Telephone | 860-490-2719
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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 | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 18549
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License Number State | MA
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