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General NPI Number Information
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NPI Number | 1063693331
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Entity Type | Organization
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Legal Business Name | WILLIAM A WOEHRMANN DDS SC
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 2125 HEIGHTS DR STE 2C
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6146
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Country | US
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Telephone | 715-832-5396
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Fax | 715-832-3009
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Provider Business Mailing Address
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Address Line | 2125 HEIGHTS DR STE 2C
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6146
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Country | US
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Telephone | 715-832-5396
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Fax | 715-832-3009
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM ANTHONY WOEHRMANN
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Credential | D.D.S.
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Telephone | 715-832-5396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2910
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License Number State | WI
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