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General NPI Number Information
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NPI Number | 1386965960
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Entity Type | Individual
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Provider Name | REINALDO CHARLES DUVAL PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 650 HUEBNER RD
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City | FORT RILEY
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State | KS
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Zip | 66442-4030
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Country | US
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Telephone | 785-240-7003
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 KS HIGHWAY 264 RM 202
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City | LARNED
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State | KS
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Zip | 67550-5353
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Country | US
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Telephone | 620-285-4155
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Fax | 620-285-4199
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS47529
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 1-15290
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS47529
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License Number State | FL
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