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General NPI Number Information
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NPI Number | 1679098339
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Entity Type | Individual
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Provider Name | DANIEL REINHARDT MS, SSP
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Gender | Male
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 08/03/2017
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Provider Practice Location Address
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Address Line | 1830 BROADWAY ST
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City | HAMILTON
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State | IL
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Zip | 62341-1705
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Country | US
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Telephone | 866-332-3880
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Fax |
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Provider Business Mailing Address
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Address Line | 270 N 10TH ST
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City | HAMILTON
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State | IL
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Zip | 62341-1500
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Country | US
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Telephone | 866-332-3880
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 675439
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License Number State | IL
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