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General NPI Number Information
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NPI Number | 1760593420
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Entity Type | Individual
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Provider Name | BARRY B REICHART R.PH.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1053 JASON PL
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City | CHATHAM
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State | IL
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Zip | 62629-2018
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Country | US
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Telephone | 217-483-7431
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Fax | 217-483-7491
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Provider Business Mailing Address
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Address Line | 521 TEAL DR
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City | CHATHAM
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State | IL
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Zip | 62629-9792
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Country | US
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Telephone | 217-483-5843
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051-037509
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License Number State | IL
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