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General NPI Number Information
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NPI Number | 1952520884
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Entity Type | Organization
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Legal Business Name | D. REEVES & R. IWASIUK, D.D.S., LTD
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 5420 KIETZKE LANE SUITE 100
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City | RENO
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State | NV
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Zip | 89511
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Country | US
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Telephone | 775-825-5221
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Fax | 775-823-9824
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Provider Business Mailing Address
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Address Line | 5420 KIETZKE LANE SUITE 100
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City | RENO
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State | NV
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Zip | 89511
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Country | US
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Telephone | 775-825-5221
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Fax | 775-823-9824
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | CHERYL A. FRAGA
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Credential | CDA
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Telephone | 775-825-5221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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