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General NPI Number Information
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NPI Number | 1992023725
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Entity Type | Organization
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Legal Business Name | LOUIS REICHERT PA
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 9045 LA FONTANA BLVD SUITE 222
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City | BOCA RATON
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State | FL
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Zip | 33434-5636
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Country | US
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Telephone | 561-477-3083
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Fax | 561-883-7169
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Provider Business Mailing Address
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Address Line | PO BOX 880627
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City | BOCA RATON
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State | FL
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Zip | 33488-0627
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Country | US
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Telephone | 561-477-3083
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Fax | 561-883-7169
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LOUIS REICHERT
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Credential | PA
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Telephone | 561-477-3083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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