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General NPI Number Information
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NPI Number | 1518278993
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Entity Type | Organization
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Legal Business Name | THOMAS C LENZMEIER MD, PC
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 20100 N 51ST AVE STE F630
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City | GLENDALE
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State | AZ
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Zip | 85308-5093
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Country | US
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Telephone | 623-376-8000
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Fax | 623-376-8040
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Provider Business Mailing Address
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Address Line | 20100 N 51ST AVE STE F630
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City | GLENDALE
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State | AZ
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Zip | 85308-5093
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Country | US
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Telephone | 623-376-8000
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Fax | 623-376-8040
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS C LENZMEIER
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Credential | MD
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Telephone | 623-376-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25528
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License Number State | AZ
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