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General NPI Number Information
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NPI Number | 1982881744
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Entity Type | Organization
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Legal Business Name | RONALD ALAN REIFSCHNEIDER DPM
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 4120 TAMIAMI TRL SUITE D 2
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-9200
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Country | US
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Telephone | 941-743-3668
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Fax | 941-743-0098
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Provider Business Mailing Address
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Address Line | 4120 TAMIAMI TRL SUITE D 2
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-9200
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Country | US
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Telephone | 941-743-3668
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Fax | 941-743-0098
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. RONALD ALAN REIFSCHNEIDER
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Credential | DPM
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Telephone | 941-743-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | PO994
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License Number State | FL
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