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General NPI Number Information
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NPI Number | 1396117172
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Entity Type | Organization
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Legal Business Name | JANET K WOLERY DMD LLC
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 695 W CENTRAL AVE SUITE B
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City | DELAWARE
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State | OH
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Zip | 43015-1409
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Country | US
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Telephone | 740-363-8591
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Fax | 740-369-1954
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Provider Business Mailing Address
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Address Line | 695 W CENTRAL AVE SUITE B
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City | DELAWARE
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State | OH
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Zip | 43015-1409
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Country | US
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Telephone | 740-363-8591
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Fax | 740-369-1954
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. JANET K WOLERY
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Credential | DMD
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Telephone | 740-363-8591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30-017,831
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License Number State | OH
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