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General NPI Number Information
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NPI Number | 1730364027
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Entity Type | Organization
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Legal Business Name | REBECCA R. REINKE DBA REINKE PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 800 W 5TH AVE SUITE 203 A/B
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City | NAPERVILLE
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State | IL
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Zip | 60563-8965
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Country | US
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Telephone | 630-709-9449
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Fax | 630-736-2887
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Provider Business Mailing Address
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Address Line | PO BOX 8211
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City | BARTLETT
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State | IL
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Zip | 60103-8211
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Country | US
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Telephone | 630-709-9449
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Fax | 630-736-2887
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. REBECCA REINKE
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Credential | PSY.D.
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Telephone | 630-709-9449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | IL
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