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General NPI Number Information
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NPI Number | 1497049506
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Entity Type | Organization
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Legal Business Name | REINERS EYECARE, PC
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 50 HOLYOKE ST
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City | HOLYOKE
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State | MA
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Zip | 01040-2709
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Country | US
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Telephone | 413-534-9000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 154
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City | HOUSATONIC
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State | MA
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Zip | 01236-0154
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Country | US
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Telephone | 413-717-7601
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. COLLIN WAYNE REINERS
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Credential | O.D.
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Telephone | 413-717-7601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4775
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License Number State | MA
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