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General NPI Number Information
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NPI Number | 1255156493
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Entity Type | Individual
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Provider Name | SERENITY REININGER MA, LMFTA
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Gender | Female
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 7752 GATEWAY LN NW STE 200
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City | CONCORD
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State | NC
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Zip | 28027-4421
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Country | US
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Telephone | 704-896-7776
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Fax |
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Provider Business Mailing Address
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Address Line | 618 BADIN LAKE RD
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City | NEW LONDON
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State | NC
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Zip | 28127-9313
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Country | US
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Telephone | 704-322-8020
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 20331A
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License Number State | NC
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