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General NPI Number Information
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NPI Number | 1962882522
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Entity Type | Individual
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Provider Name | CHRISTINA REISCHL ATC, LAT, LMT
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Gender | Female
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 7455 NEW RIDGE RD STE L
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City | HANOVER
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State | MD
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Zip | 21076-3143
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Country | US
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Telephone | 816-270-8991
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Fax |
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Provider Business Mailing Address
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Address Line | 7455 NEW RIDGE RD STE L
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City | HANOVER
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State | MD
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Zip | 21076-3143
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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 |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2014002794
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License Number State | MO
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