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General NPI Number Information
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NPI Number | 1881110633
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Entity Type | Organization
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Legal Business Name | JULIE REINHART THERAPY LLC
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 08/14/2017
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Provider Practice Location Address
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Address Line | 296 SW COLUMBIA ST STE D
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City | BEND
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State | OR
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Zip | 97702-1020
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Country | US
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Telephone | 541-610-5659
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Fax |
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Provider Business Mailing Address
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Address Line | 1633 NW PROMONTORY DRIVE
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City | BEND
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State | OR
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Zip | 97703
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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 | THERAPIST
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Name | JULIE GIROUARD REINHART
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Credential | LMFT, LMT, MAC, ACS
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Telephone | 541-610-5659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 22363
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | TO451
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License Number State | OR
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