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General NPI Number Information
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NPI Number | 1346545787
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Entity Type | Individual
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Provider Name | LAUREN LENZ WETZLER PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/17/2011
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Last Update Date | 07/22/2015
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Provider Practice Location Address
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Address Line | 10 CENTER DR. NATIONAL INSTITUTES OF HEALTH
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City | BETHESDA
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State | MD
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Zip | 20892
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Country | US
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Telephone | 301-594-0407
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Fax | 301-451-2029
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Provider Business Mailing Address
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Address Line | 10 CENTER DRIVE ROOM 9N214A NATIONAL INSTITUTES OF HEALTH
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City | BETHESDA
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State | MD
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Zip | 20892
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Country | US
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Telephone | 301-594-0407
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Fax | 301-451-2029
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C04429
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License Number State | MD
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