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General NPI Number Information
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NPI Number | 1972001139
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Entity Type | Individual
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Provider Name | BRYAN S REUER
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Gender | Male
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 215 N TRIMBLE RD
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City | MANSFIELD
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State | OH
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Zip | 44906-2630
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Country | US
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Telephone | 567-247-4475
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Fax |
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Provider Business Mailing Address
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Address Line | 438 EDGEWOOD RD APT 1
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City | MANSFIELD
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State | OH
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Zip | 44907-1574
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Country | US
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Telephone | 567-303-4893
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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