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General NPI Number Information
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NPI Number | 1326201831
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Entity Type | Organization
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Legal Business Name | ROBERT REICH MD
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 11 VISTA DR
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City | GREAT NECK
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State | NY
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Zip | 11021-1732
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Country | US
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Telephone | 516-829-7020
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Fax | 516-487-6898
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Provider Business Mailing Address
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Address Line | 11 VISTA DR
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City | GREAT NECK
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State | NY
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Zip | 11021-1732
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Country | US
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Telephone | 516-829-7020
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Fax | 516-487-6898
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Authorized Official
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Title or Position | MD
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Name | DR. ROBERT REICH
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Credential | MD
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Telephone | 516-829-7020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 097664
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License Number State | NY
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