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General NPI Number Information
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NPI Number | 1477768489
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Entity Type | Organization
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Legal Business Name | DR.'S FRITZ & OLSON, P.C.
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Dates
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Enumeration Date | 05/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4037 TAYLOR RD SUITE B
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5535
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Country | US
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Telephone | 757-484-9441
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Fax |
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Provider Business Mailing Address
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Address Line | 4037 TAYLOR RD SUITE B
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5535
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Country | US
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Telephone | 757-484-9441
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND TREASURER
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Name | DR. GLENN W FRITZ
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Credential |
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Telephone | 757-484-9441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 4845
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License Number State | VA
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