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NPI 1710911912

NPI 1710911912 : WILLIAM H. LENZ, DPM, PC : HOMESTEAD, PA

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General NPI Number Information
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    NPI Number           |    1710911912
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    Entity Type          |    Organization 
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    Legal Business Name  |    WILLIAM H. LENZ, DPM, PC 
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Dates
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    Enumeration Date     |    07/11/2006
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    Last Update Date     |    04/20/2010
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Provider Practice Location Address
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    Address Line         |    495 WATERFRONT DR E SUITE 230
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    City                 |    HOMESTEAD
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    State                |    PA
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    Zip                  |    15120-1140
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    Country              |    US
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    Telephone            |    412-461-1108
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    Fax                  |    412-461-5490
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Provider Business Mailing Address
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    Address Line         |    495 WATERFRONT DR E SUITE 230
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    City                 |    HOMESTEAD
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    State                |    PA
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    Zip                  |    15120-1140
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    Country              |    US
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    Telephone            |    412-461-1108
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    Fax                  |    412-461-5490
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Authorized Official
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    Title or Position    |    OPERATIONS MANAGER
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    Name                 |    MRS. DIANE L LYNCH 
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    Credential           |    
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    Telephone            |    412-461-1108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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