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General NPI Number Information
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NPI Number | 1700815131
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Entity Type | Individual
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Provider Name | JOHN D WENGER D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 01/05/2021
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Provider Practice Location Address
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Address Line | 1931 MEDICAL AVE
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City | HARRISONBURG
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State | VA
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Zip | 22801-3437
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Country | US
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Telephone | 540-564-5400
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Fax | 757-579-8560
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Provider Business Mailing Address
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Address Line | PO BOX 79777
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City | BALTIMORE
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State | MD
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Zip | 21279-0777
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Country | US
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Telephone | 540-564-5400
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Fax | 757-579-8560
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.006884
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102202366
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License Number State | VA
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