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General NPI Number Information
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NPI Number | 1285849208
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Entity Type | Individual
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Provider Name | LIND S REISS C.F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1108 COURTHOUSE RD STE D
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City | RICHMOND
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State | VA
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Zip | 23236-3197
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Country | US
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Telephone | 804-423-5050
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Fax | 804-423-5048
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Provider Business Mailing Address
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Address Line | 11130 STERLING COVE DR
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City | CHESTERFIELD
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State | VA
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Zip | 23838-5158
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Country | US
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Telephone | 804-751-9004
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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 | 0024063173
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License Number State | VA
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