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General NPI Number Information
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NPI Number | 1710070230
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Entity Type | Organization
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Legal Business Name | HOLZHAUER & HEWETT SC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 03/13/2009
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Provider Practice Location Address
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Address Line | 520 HARTBROOK DR
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City | HARTLAND
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State | WI
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Zip | 53029-1402
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Country | US
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Telephone | 262-367-7076
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Fax | 262-367-0994
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Provider Business Mailing Address
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Address Line | 520 HARTBROOK DR
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City | HARTLAND
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State | WI
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Zip | 53029-1402
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Country | US
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Telephone | 262-367-7076
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Fax | 262-367-0994
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL A. HOLZHAUER
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Credential | DDS, MS
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Telephone | 262-367-7076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 4158
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6251-15
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3236
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License Number State | WI
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