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General NPI Number Information
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NPI Number | 1164081816
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Entity Type | Organization
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Legal Business Name | WENTZEL, LLC
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 3900 S HIGHWAY 14 STE 1B
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City | GREENVILLE
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State | SC
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Zip | 29615-7110
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Country | US
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Telephone | 864-757-4951
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Fax | 864-606-6240
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Provider Business Mailing Address
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Address Line | 105 MEADOW BLOSSOM WAY
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-6588
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Country | US
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Telephone | 864-497-2655
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Fax | 864-606-6240
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Authorized Official
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Title or Position | OWNER
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Name | MEREDITH WENTZEL
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Credential | IBCLC
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Telephone | 864-757-4951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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