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General NPI Number Information
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NPI Number | 1912289455
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Entity Type | Individual
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Provider Name | DOUGLAS ARNO REUTER JR. R.PH.
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Gender | Male
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Dates
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Enumeration Date | 09/11/2011
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Last Update Date | 09/11/2011
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Provider Practice Location Address
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Address Line | 1919 WILBRAHAM RD
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City | SPRINGFIELD
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State | MA
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Zip | 01129-1822
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Country | US
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Telephone | 413-783-2535
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Fax | 413-783-7795
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Provider Business Mailing Address
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Address Line | 11 PERVIER AVE
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City | CHICOPEE
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State | MA
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Zip | 01020-4445
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Country | US
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Telephone | 413-887-4483
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24141
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License Number State | MA
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