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General NPI Number Information
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NPI Number | 1750375630
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Entity Type | Individual
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Provider Name | VENUS STELLA WITTENAUER DO
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Gender | Female
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 48462 BELL SCHOOL RD STE A
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9625
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Country | US
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Telephone | 724-773-3404
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Fax | 724-770-7930
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Provider Business Mailing Address
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Address Line | 48462 BELL SCHOOL RD STE A
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9625
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Country | US
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Telephone | 724-773-3404
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Fax | 724-770-7939
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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 | 34006914M
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License Number State | OH
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