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General NPI Number Information
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NPI Number | 1598699001
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Entity Type | Individual
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Provider Name | TIMOTHY TODD STENZEL MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 3641 BRUNSWICK AVE N
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City | CRYSTAL
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State | MN
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Zip | 55422-1914
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Country | US
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Telephone | 512-663-7681
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Fax |
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Provider Business Mailing Address
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Address Line | 3641 BRUNSWICK AVE N
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City | CRYSTAL
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State | MN
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Zip | 55422-1914
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Country | US
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Telephone |
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 9600822
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License Number State | NC
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