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General NPI Number Information
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NPI Number | 1457593204
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Entity Type | Individual
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Provider Name | JOSEPH WENZINGER DDS
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Gender | Male
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 3815 S JONES BLVD STE 2
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City | LAS VEGAS
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State | NV
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Zip | 89103-2289
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Country | US
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Telephone | 702-873-8556
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Fax |
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Provider Business Mailing Address
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Address Line | 3815 SOUTH JONES #2
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City | LAS VEGAS
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State | NV
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Zip | 89103
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Country | US
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Telephone | 702-873-8556
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2395
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License Number State | NV
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