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General NPI Number Information
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NPI Number | 1669708640
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Entity Type | Individual
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Provider Name | MELISSA A REIMER IDMT
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Gender | Female
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Dates
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Enumeration Date | 10/26/2009
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 691 BARNES BLVD
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City | MCCHORD AFB
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State | WA
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Zip | 98438-1303
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Country | US
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Telephone | 253-982-3518
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Fax |
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Provider Business Mailing Address
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Address Line | 591 BARNES BLVD
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City | JOINT-BASE LEWIS MCCHORD
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State | WA
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Zip | 98438
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Country | US
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Telephone | 253-982-5566
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Fax |
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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 | 1710I1003X
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Taxonomy Name | Independent Duty Medical Technicians
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License Number |
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License Number State |
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