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General NPI Number Information
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NPI Number | 1053533851
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Entity Type | Individual
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Provider Name | DAVID M. KANZE D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 300 E LANCASTER AVE STE 201B
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City | WYNNEWOOD
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State | PA
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Zip | 19096-2146
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Country | US
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Telephone | 267-437-3299
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Fax | 158-481-6002
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Provider Business Mailing Address
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Address Line | 300 E LANCASTER AVE STE 201B
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City | WYNNEWOOD
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State | PA
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Zip | 19096-2146
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Country | US
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Telephone | 267-437-3299
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Fax | 158-481-6002
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | OP60448689
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 47690
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS018844
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 47690
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP60448689
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | OS018844
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License Number State | PA
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