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General NPI Number Information
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NPI Number | 1831851393
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Entity Type | Individual
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Provider Name | ANDREW JOSEPH WENGER DC
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Gender | Male
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Dates
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Enumeration Date | 10/12/2021
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 1360 CORAL RIDGE DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-5419
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Country | US
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Telephone | 754-231-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 8101 NW 71ST CT
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City | TAMARAC
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State | FL
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Zip | 33321-2757
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Country | US
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Telephone | 616-450-2449
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH12948
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License Number State | FL
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