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General NPI Number Information
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NPI Number | 1346113982
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Entity Type | Organization
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Legal Business Name | CAMILLE S REINEKE PSYCHOLOGY CONSULTING PROFESSIONAL CORPORATIO
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 6809 INDIANA AVE STE 140
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City | RIVERSIDE
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State | CA
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Zip | 92506-4221
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Country | US
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Telephone | 951-633-9270
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Fax |
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Provider Business Mailing Address
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Address Line | 6809 INDIANA AVE STE 140
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City | RIVERSIDE
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State | CA
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Zip | 92506-4221
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CAMILLE SUZANNE REINEKE
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Credential |
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Telephone | 951-633-9270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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