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General NPI Number Information
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NPI Number | 1851233704
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Entity Type | Individual
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Provider Name | DR. LISA KAY REITZ
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Gender | Female
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 1003 MAIN ST
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-3540
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Country | US
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Telephone | 970-644-7820
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Fax |
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Provider Business Mailing Address
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Address Line | 605 STONE MOUNTAIN DR
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City | FRUITA
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State | CO
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Zip | 81521-2572
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Country | US
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Telephone | 970-644-7820
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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