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General NPI Number Information
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NPI Number | 1548202609
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Entity Type | Individual
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Provider Name | SAMUEL MICHAEL REINER MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 725 RODEL CV
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City | LAKE MARY
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State | FL
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Zip | 32746-4859
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Country | US
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Telephone | 407-302-3130
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Fax | 407-302-3132
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Provider Business Mailing Address
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Address Line | 725 RODEL CV
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City | LAKE MARY
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State | FL
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Zip | 32746-4859
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Country | US
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Telephone | 407-302-3130
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Fax | 407-302-3132
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D45316
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME117512
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License Number State | FL
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