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NPI 1285180869

NPI 1285180869 : BARBARA WEGIEL DMD : APO, AA

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General NPI Number Information
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    NPI Number           |    1285180869
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA WEGIEL DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/01/2016
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    Last Update Date     |    05/08/2026
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Provider Practice Location Address
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    Address Line         |    FORT BRAGG DENTAC 
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    City                 |    APO
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    State                |    AA
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    Zip                  |    28310
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    Country              |    US
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    Telephone            |    910-907-8707
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4076 NEELY RD 
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    City                 |    FORT BRAGG
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    State                |    NC
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    Zip                  |    28310-0001
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    Country              |    US
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    Telephone            |    910-907-8707
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    019.030736
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    1223E0200X
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    Taxonomy Name        |    Endodontics
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    License Number       |    019030736
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    License Number State |    IL
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