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General NPI Number Information
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NPI Number | 1265843726
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Entity Type | Individual
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Provider Name | CHARLES ANTHONY WENZEL DO, JD, MPH
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Gender | Male
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Dates
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Enumeration Date | 05/17/2014
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 549TH HOSPITAL CENTER/BDAACH UNIT #15245
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City | APO
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State | AP
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Zip | 96271
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Country | US
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Telephone | 315-737-1734
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 444 BOX 1031
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City | APO
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State | AP
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Zip | 96297-0011
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Country | US
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Telephone | 303-885-1323
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | DO-05462
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 55576
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License Number State | CO
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