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General NPI Number Information
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NPI Number | 1245392323
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Entity Type | Organization
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Legal Business Name | SHARON REYNOLDS-FLESCHNER
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 325 SENECA TRL SUITE A
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City | RONCEVERTE
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State | WV
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Zip | 24970-1319
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Country | US
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Telephone | 304-647-5020
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Fax | 304-645-6524
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Provider Business Mailing Address
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Address Line | 325 SENECA TRL SUITE A
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City | RONCEVERTE
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State | WV
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Zip | 24970-1319
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Country | US
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Telephone | 304-647-5020
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Fax | 304-645-6524
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | SHARON REYNOLDS FLESCHNER
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Credential | M,A,
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Telephone | 304-647-5020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 835
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License Number State | WV
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