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General NPI Number Information
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NPI Number | 1477645968
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Entity Type | Individual
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Provider Name | EVAN M WENZLER PT
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 500 STATE ST
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City | SCHENECTADY
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State | NY
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Zip | 12305-2426
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Country | US
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Telephone | 518-489-2663
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Fax |
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Provider Business Mailing Address
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Address Line | 121 EVERETT RD
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City | ALBANY
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State | NY
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Zip | 12205-1474
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Country | US
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Telephone | 518-489-2663
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 030217-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 030217
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License Number State | NY
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