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General NPI Number Information
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NPI Number | 1831146711
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Entity Type | Organization
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Legal Business Name | PAUL J. HANZEL, DDS, PC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2601 PRINCESS ANNE ST SUITE 203
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3254
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Country | US
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Telephone | 540-371-6195
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 PRINCESS ANNE ST SUITE 203
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3254
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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 | DENTIST
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Name | DR. PAUL HANZEL
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Credential |
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Telephone | 540-371-6194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 0401005312
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License Number State | VA
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