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General NPI Number Information
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NPI Number | 1629116223
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Entity Type | Organization
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Legal Business Name | REACH ALTERNATIVES CONSULTING
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 766 ASPEN CT
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City | WOODBURY
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State | MN
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Zip | 55125-1191
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Country | US
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Telephone | 651-730-5245
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Fax | 651-578-0129
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Provider Business Mailing Address
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Address Line | 766 ASPEN CT
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City | WOODBURY
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State | MN
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Zip | 55125-1191
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Country | US
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Telephone | 651-730-5245
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Fax | 651-578-0129
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. RENE JEANNE KRESS
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Credential | QMRP
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Telephone | 651-730-5245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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