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General NPI Number Information
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NPI Number | 1841691912
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Entity Type | Organization
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Legal Business Name | DOUGLAS RINEHART, DDS, P.A.
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 03/11/2016
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Provider Practice Location Address
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Address Line | 911 N WALTON BLVD STE. B
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City | BENTONVILLE
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State | AR
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Zip | 72712-4551
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Country | US
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Telephone | 479-464-7500
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Fax | 479-273-7741
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Provider Business Mailing Address
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Address Line | 911 N WALTON BLVD STE. B
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City | BENTONVILLE
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State | AR
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Zip | 72712-4551
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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 | OWNER/DENTIST
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Name | DR. DOUGLAS RINEHART
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Credential |
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Telephone | 870-219-9159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3879
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License Number State | AR
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