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General NPI Number Information
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NPI Number | 1164865457
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Entity Type | Individual
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Provider Name | JOSEPH LANTZ DO
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Gender | Male
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Dates
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Enumeration Date | 04/17/2013
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 800 GARFIELD AVE
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City | PARKERSBURG
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State | WV
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Zip | 26101-5340
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Country | US
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Telephone | 304-488-9093
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Fax |
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Provider Business Mailing Address
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Address Line | 3115 QUEENS WALK NE
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City | ATLANTA
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State | GA
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Zip | 30345-2165
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Country | US
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Telephone | 304-488-9093
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 92534
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34.015180
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 3714
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License Number State | WV
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