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General NPI Number Information
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NPI Number | 1255402913
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Entity Type | Organization
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Legal Business Name | PAMELA A REINHARDT, MD
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 09/17/2007
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Provider Practice Location Address
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Address Line | 96 COURT ST
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City | PLATTSBURGH
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State | NY
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Zip | 12901-2733
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Country | US
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Telephone | 518-562-0519
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Fax | 518-562-3316
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Provider Business Mailing Address
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Address Line | 96 COURT ST
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City | PLATTSBURGH
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State | NY
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Zip | 12901-2733
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Country | US
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Telephone | 518-562-0519
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Fax | 518-562-3316
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Authorized Official
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Title or Position | MD
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Name | DR. PAMELA A REINHARDT
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Credential | MD
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Telephone | 518-562-0519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 178439-6
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License Number State | NY
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