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General NPI Number Information
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NPI Number | 1689632960
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Entity Type | Individual
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Provider Name | WILLIAM C. REHA MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 2296 OPITZ BLVD #220
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City | WOODBRIDGE
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State | VA
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Zip | 22191
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Country | US
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Telephone | 703-670-5107
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Fax | 703-670-8435
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Provider Business Mailing Address
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Address Line | 2296 OPITZ BLVD STE 220
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3352
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Country | US
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Telephone | 703-670-5107
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Fax | 703-670-8435
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 0101034939
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License Number State | VA
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