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General NPI Number Information
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NPI Number | 1124603725
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Entity Type | Organization
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Legal Business Name | DANIEL S ZUPSANSKY DDS, LEE T HARTZLER DDS, & TYLER A OVERMYER DDS INC
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Dates
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Enumeration Date | 03/15/2021
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 334 E MILLTOWN RD
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City | WOOSTER
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State | OH
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Zip | 44691-1248
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Country | US
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Telephone | 330-262-0206
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Fax | 330-262-3809
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Provider Business Mailing Address
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Address Line | 334 E MILLTOWN RD
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City | WOOSTER
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State | OH
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Zip | 44691-1248
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Country | US
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Telephone | 330-262-0206
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Fax | 330-262-3809
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Authorized Official
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Title or Position | EMPLOYER
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Name | DR. LEE HARTZLER
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Credential | DDS
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Telephone | 330-465-1460
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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 |
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License Number State |
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