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General NPI Number Information
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NPI Number | 1770109183
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Entity Type | Individual
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Provider Name | DAVID WESTMEYER
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Gender | Male
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 4359 KEYSTONE DR STE 100
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City | MAUMEE
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State | OH
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Zip | 43537-8709
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Country | US
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Telephone | 419-893-0221
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Fax |
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Provider Business Mailing Address
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Address Line | 3274 RAVENWOOD BLVD
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City | TOLEDO
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State | OH
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Zip | 43614-3731
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Country | US
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Telephone |
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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 | 30.026204
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License Number State | OH
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