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General NPI Number Information
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NPI Number | 1508983792
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Entity Type | Organization
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Legal Business Name | MICHELLE R. REYNA, M.D., P.A.
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 1411 N BECKLEY AVE PAV III, STE 356
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City | DALLAS
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State | TX
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Zip | 75203-1259
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Country | US
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Telephone | 214-941-6228
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Fax | 214-941-6079
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Provider Business Mailing Address
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Address Line | 1411 N. BECKLEY AVE PAV III, STE 356
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City | DALLAS
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State | TX
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Zip | 75203
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Country | US
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Telephone | 214-941-6228
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Fax | 214-941-6079
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHELLE REYNA
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Credential | MD
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Telephone | 214-946-2341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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