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General NPI Number Information
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NPI Number | 1285710152
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Entity Type | Individual
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Provider Name | DAVID REISMAN MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 87 MCGREGOR ST
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City | MANCHESTER
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State | NH
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Zip | 03102-3765
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Country | US
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Telephone | 603-629-1828
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Fax |
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Provider Business Mailing Address
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Address Line | 362 GULF BREEZE PKWY # 140
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City | GULF BREEZE
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State | FL
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Zip | 32561-4492
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Country | US
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Telephone | 734-929-7503
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 161333
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME105054
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | ME105054
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 21605
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | CDRH.0062072
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 9701559
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 21605
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License Number State | FL
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