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General NPI Number Information
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NPI Number | 1255054102
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Entity Type | Individual
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Provider Name | BARRETT ROBERT REIF DPT
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Gender | Male
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 1233 N NORTHWOOD CENTER CT STE 101
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6190
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Country | US
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Telephone | 208-215-2450
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Fax | 208-773-1473
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Provider Business Mailing Address
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Address Line | 1233 N NORTHWOOD CENTER CT STE 101
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6190
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Country | US
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Telephone | 208-215-2450
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Fax | 208-773-1473
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12628
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9171049
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License Number State | ID
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