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General NPI Number Information
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NPI Number | 1780403089
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Entity Type | Organization
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Legal Business Name | DR REIMELS X PLLC
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 8401 UNIVERSITY EXEC PARK DR STE 120
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City | CHARLOTTE
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State | NC
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Zip | 28262-1360
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Country | US
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Telephone | 704-547-8783
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2249
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City | HUNTERSVILLE
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State | NC
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Zip | 28070-2249
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF RCM
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Name | AMANDA NOELLE GROESCHEL
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Credential |
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Telephone | 704-978-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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