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General NPI Number Information
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NPI Number | 1073659884
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Entity Type | Organization
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Legal Business Name | FRANCIS D. HENIZE, JR., D. D. S.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 231 S SANDUSKY AVE
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City | BUCYRUS
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State | OH
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Zip | 44820-2222
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Country | US
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Telephone | 419-562-0981
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Fax |
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Provider Business Mailing Address
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Address Line | 231 S SANDUSKY AVE
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City | BUCYRUS
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State | OH
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Zip | 44820-2222
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Country | US
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Telephone | 419-562-0981
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | SHANNON C HENIZE
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Credential |
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Telephone | 419-562-0981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 17796
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License Number State | OH
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