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General NPI Number Information
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NPI Number | 1659626638
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Entity Type | Individual
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Provider Name | STEPHEN M REINSEL O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 3285 STATE ROUTE 257
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City | SENECA
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State | PA
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Zip | 16346-2529
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Country | US
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Telephone | 814-677-6636
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Fax | 814-677-9562
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Provider Business Mailing Address
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Address Line | 3285 STATE ROUTE 257
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City | SENECA
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State | PA
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Zip | 16346-2529
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Country | US
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Telephone | 814-677-6636
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Fax | 814-677-9562
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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 | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | OEG002685
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number | OEG002685
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | OEG002685
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License Number State | PA
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