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General NPI Number Information
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NPI Number | 1568870020
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Entity Type | Individual
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Provider Name | DENISE REICHMAN RN
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Gender | Female
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 2509 SUNRISE LN
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City | BURLINGTON
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State | IA
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Zip | 52601
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Country | US
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Telephone | 319-601-9987
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Fax |
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Provider Business Mailing Address
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Address Line | 2509 SUNRISE LN.
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City | BURLINGTON
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State | IA
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Zip | 52601
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Country | US
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Telephone | 319-601-9987
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 133104
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License Number State | IA
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