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General NPI Number Information
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NPI Number | 1578566048
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Entity Type | Individual
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Provider Name | RICHARD E REJER JR. MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 965 EMERSON PKWY STE J
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City | GREENWOOD
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State | IN
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Zip | 46143-6274
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Country | US
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Telephone | 317-887-1060
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Fax | 317-887-1460
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Provider Business Mailing Address
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Address Line | PO BOX 781076
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City | DETROIT
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State | MI
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Zip | 48278-1076
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-1479
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01041636A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 01041636A
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License Number State | IN
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