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General NPI Number Information
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NPI Number | 1649387606
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Entity Type | Organization
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Legal Business Name | DR RICHARD L REINHARDT PC
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 117 CROCKER BLVD
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-2505
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Country | US
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Telephone | 586-463-5400
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Fax | 586-465-1480
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Provider Business Mailing Address
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Address Line | 117 CROCKER BLVD
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-2505
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Country | US
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Telephone | 586-463-5400
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Fax | 586-465-1480
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD LEE REINHARDT
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Credential | D.C.
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Telephone | 586-463-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301005391
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License Number State | MI
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