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General NPI Number Information
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NPI Number | 1306183884
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Entity Type | Individual
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Provider Name | JAMES S. REIBEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2013
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 42 DOUBLING ROAD
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City | GREENWICH
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State | CT
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Zip | 06830
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Country | US
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Telephone | 203-661-0294
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Fax | 203-629-9441
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Provider Business Mailing Address
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Address Line | 42 DOUBLING ROAD
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City | GREENWICH
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State | CT
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Zip | 06830
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Country | US
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Telephone | 203-661-0294
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Fax | 203-629-9441
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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 | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 022104
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License Number State | CT
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