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General NPI Number Information
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NPI Number | 1750201885
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Entity Type | Individual
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Provider Name | MARIAH LEEANN WENZELMAN
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Gender | Female
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Dates
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Enumeration Date | 07/18/2026
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Last Update Date | 07/18/2026
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Provider Practice Location Address
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Address Line | 7104 ERIE ST
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City | SYLVANIA
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State | OH
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Zip | 43560-1191
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Country | US
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Telephone | 419-637-4423
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Fax |
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Provider Business Mailing Address
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Address Line | 2087 HORSESHOE BEND DR
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City | PERRYSBURG
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State | OH
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Zip | 43551-6964
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Country | US
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Telephone | 419-637-4423
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN.429377
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License Number State | OH
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