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General NPI Number Information
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NPI Number | 1588653000
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Entity Type | Individual
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Provider Name | RODNEY LEE REINHARDT MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2600 MARBLE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87131-0001
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Country | US
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Telephone | 505-839-8839
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Fax | 505-839-8989
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Provider Business Mailing Address
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Address Line | 835 CHUCKWAGON RD SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-3784
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Country | US
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Telephone | 505-401-7944
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Fax | 775-490-3434
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0072641
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License Number State | NM
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