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General NPI Number Information
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NPI Number | 1710274071
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Entity Type | Individual
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Provider Name | CONSTANCE JIN WENTWORTH D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | 19 LIMESTONE DR STE 2
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7091
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Country | US
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Telephone | 716-675-6204
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Fax | 716-675-4841
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Provider Business Mailing Address
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Address Line | 19 LIMESTONE DR STE 2
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7091
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Country | US
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Telephone | 716-675-6204
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Fax | 716-675-4841
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 056481
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License Number State | NY
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