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General NPI Number Information
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NPI Number | 1780547745
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Entity Type | Individual
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Provider Name | JOSHUA DANIEL REITER SR.
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Gender | Male
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Dates
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Enumeration Date | 12/06/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 2525 WESTGATE
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City | PENDLETON
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State | OR
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Zip | 97801-9613
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Country | US
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Telephone | 541-429-8721
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Fax |
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Provider Business Mailing Address
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Address Line | 411 SE 11TH ST
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City | PENDLETON
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State | OR
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Zip | 97801-2697
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Country | US
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Telephone | 541-240-1057
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | OR
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