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Individual
ANDREW LEWIS RENO
Active
Individual
ANDREW LEWIS RENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555960
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101714
MAMSI
VA
01
—
2740701
AETNA
VA
01
—
434855
ANTHEM
VA
01
—
505767
NVPPO
VA
01
—
542053575
GREAT WEST
VA
01
—
S974-0001
CAREFIRST
VA
Enumeration date
05/19/2006
Last updated
10/26/2015
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