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NPI Code Detail

MEDICARE: HAROLD REESE

MEDICARE: HAROLD REESE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1518214535
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAROLD REESE
Provider Business Mailing Address
First Line : 7116 MANZANARES DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-2345
Country : US
Telephone Number : 714-366-4251
Fax Number :
Provider Business Practice Location Address
First Line : 7116 MANZANARES DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-2345
Country : US
Telephone Number : 714-366-4251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2012
Last Update Date : 08/09/2012

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