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General NPI Number Information
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NPI Number | 1851579742
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Entity Type | Individual
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Provider Name | VICTORIA L REINHOLDT APRN, BC, FNP
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Gender | Female
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1580 W COLUMBIA ST
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City | FARMINGTON
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State | MO
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Zip | 63640-3512
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Country | US
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Telephone | 573-760-1365
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Fax | 573-778-4145
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Provider Business Mailing Address
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Address Line | 1500 N WESTWOOD BLVD
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City | POPLAR BLUFF
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State | MO
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Zip | 63901-3318
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Country | US
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Telephone | 573-686-4151
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 128272
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A177718
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License Number State | IA
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