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General NPI Number Information
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NPI Number | 1619146131
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Entity Type | Organization
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Legal Business Name | DR. REISING AND BURKHART
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 1900 E MAIN ST
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City | RICHMOND
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State | IN
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Zip | 47374-5708
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Country | US
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Telephone | 765-962-2243
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Fax | 765-966-6199
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Provider Business Mailing Address
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Address Line | 1900 E MAIN ST
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City | RICHMOND
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State | IN
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Zip | 47374-5708
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Country | US
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Telephone | 765-962-2243
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Fax | 765-966-6199
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Authorized Official
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Title or Position | MANGAGER
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Name | MISSY DUNN
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Credential |
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Telephone | 765-962-2243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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