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General NPI Number Information
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NPI Number | 1710996475
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Entity Type | Organization
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Legal Business Name | H.R. REINHERZ DPM,SC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6801 SHERIDAN RD
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City | KENOSHA
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State | WI
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Zip | 53143-1321
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Country | US
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Telephone | 262-654-2801
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Fax |
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Provider Business Mailing Address
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Address Line | 6801 SHERIDAN RD
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City | KENOSHA
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State | WI
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Zip | 53143-1321
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Country | US
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Telephone | 262-654-2801
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD P REINHERZ
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Credential | DPM
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Telephone | 262-654-2801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 410025
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License Number State | WI
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