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General NPI Number Information
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NPI Number | 1740345453
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Entity Type | Individual
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Provider Name | REINA E. DUERINCKX WHCNP
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 2665 SCRIPTURE STREET
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City | DENTON
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State | TX
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Zip | 76201-3708
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Country | US
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Telephone | 940-535-5767
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Fax | 940-898-0147
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Provider Business Mailing Address
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Address Line | 209 N BONNIE BRAE ST STE 304
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City | DENTON
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State | TX
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Zip | 76201-3748
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Country | US
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Telephone | 940-503-3601
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Fax | 940-503-3602
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 662345
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License Number State | TX
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