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General NPI Number Information
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NPI Number | 1750693149
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Entity Type | Individual
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Provider Name | DOMINIK WIETRZYNSKI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 11552 E 12 MILE RD
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City | WARREN
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State | MI
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Zip | 48093-2644
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Country | US
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Telephone | 586-573-2533
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Fax |
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Provider Business Mailing Address
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Address Line | 11552 E 12 MILE RD
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City | WARREN
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State | MI
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Zip | 48093-2644
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Country | US
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Telephone | 586-573-2533
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.028405
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901020331
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License Number State | MI
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