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General NPI Number Information
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NPI Number | 1851382287
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Entity Type | Individual
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Provider Name | ROBERT WILLIAM REINDOLLAR MD
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Gender | Male
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1809 BRENNER AVE STE 102
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City | SALISBURY
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State | NC
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Zip | 28144-2567
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Country | US
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Telephone | 704-216-7071
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 BRENNER AVE STE 102
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City | SALISBURY
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State | NC
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Zip | 28144-2567
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Country | US
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Telephone | 704-216-7071
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 24497
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License Number State | NC
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