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General NPI Number Information
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NPI Number | 1699793901
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Entity Type | Individual
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Provider Name | MICHAEL S. REICHERT RPA-C
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 503 N 21ST ST
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City | CAMP HILL
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State | PA
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Zip | 17011-2204
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Country | US
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Telephone | 717-531-5638
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Fax | 717-531-0983
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Provider Business Mailing Address
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Address Line | 101 REGENT CT
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City | STATE COLLEGE
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State | PA
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Zip | 16801-7965
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Country | US
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Telephone | 814-231-2101
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Fax | 814-231-8569
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 007964-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA054858
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License Number State | PA
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