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General NPI Number Information
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NPI Number | 1336141902
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Entity Type | Individual
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Provider Name | KAREN J REINERTSEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 03/17/2019
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Provider Practice Location Address
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Address Line | 28 SOUTHPOINTE DR
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City | PARAGOULD
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State | AR
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Zip | 72450-6238
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Country | US
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Telephone | 870-239-2244
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Fax | 870-236-1616
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Provider Business Mailing Address
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Address Line | 2707 BROWNS LN
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City | JONESBORO
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State | AR
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Zip | 72401-7213
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Country | US
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Telephone | 870-972-4939
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Fax | 870-972-4911
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 16594
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | E-6966
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License Number State | AR
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