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General NPI Number Information
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NPI Number | 1285011064
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Entity Type | Individual
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Provider Name | BRIAN ANDREW REUTER M.B.B.S.
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Gender | Male
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | DAMERON HOSPITAL 525 ACACIA ST
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City | STOCKTON
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State | CA
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Zip | 95203
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Country | US
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Telephone | 858-405-8349
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Fax |
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Provider Business Mailing Address
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Address Line | 6146 BOLLINGER RD # 700134
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City | SAN JOSE
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State | CA
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Zip | 95129-3068
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Country | US
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Telephone | 858-405-8349
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A150940
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License Number State | CA
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