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General NPI Number Information
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NPI Number | 1336549237
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Entity Type | Organization
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Legal Business Name | REGGIO RX
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 4223 SEA PINES CT
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City | CAPITOLA
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State | CA
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Zip | 95010-3523
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Country | US
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Telephone | 831-234-7234
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Fax |
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Provider Business Mailing Address
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Address Line | 4223 SEA PINES CT
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City | CAPITOLA
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State | CA
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Zip | 95010-3523
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Country | US
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Telephone | 831-234-7234
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES REGGIO
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Credential | N.P.
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Telephone | 831-234-7234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NP15581
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License Number State | CA
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