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General NPI Number Information
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NPI Number | 1538311311
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Entity Type | Individual
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Provider Name | COLIN REISNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2008
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 280 HEADQUARTER PLAZA EAST TOWER 2ND FLOOR
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City | MORRISTOWN
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State | NJ
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Zip | 07869-1828
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Country | US
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Telephone | 973-975-0324
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Fax |
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Provider Business Mailing Address
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Address Line | 280 HEADQUARTER PLAZA EAST TOWER EAST TOWER 2ND FLOOR
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City | MORRISTOWN
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State | NJ
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Zip | 07960
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Country | US
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Telephone | 973-975-0321
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Fax |
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 2000-01425
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 53068
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License Number State | GA
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