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General NPI Number Information
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NPI Number | 1255798393
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Entity Type | Individual
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Provider Name | JEANA REINHART NP-C
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Gender | Female
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 14962 SAND RIDGE RD
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City | BOWLING GREEN
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State | OH
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Zip | 43402-9161
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Country | US
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Telephone | 419-575-8019
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 42 239 N 2ND
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City | PORTAGE
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State | OH
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Zip | 43451
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Country | US
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Telephone | 419-575-8019
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F1115001
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License Number State | OH
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