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General NPI Number Information
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NPI Number | 1396850780
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Entity Type | Individual
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Provider Name | DAVID NEAL REYNOLDS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 05/04/2016
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Provider Practice Location Address
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Address Line | 1055 CLERMONT ST ROOM 1E-132
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City | DENVER
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State | CO
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Zip | 80220-3808
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Country | US
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Telephone | 303-399-8020
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Fax | 303-393-5151
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Provider Business Mailing Address
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Address Line | 1055 CLERMONT ST ROOM 1E-132
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City | DENVER
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State | CO
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Zip | 80220-3808
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Country | US
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Telephone | 303-399-8020
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Fax | 303-393-5151
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 227558-1
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License Number State | NY
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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 | DR 0049472
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License Number State | CO
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