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General NPI Number Information
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NPI Number | 1922295989
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Entity Type | Organization
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Legal Business Name | PAUL A. LENZ MD PA
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 625 E PRICE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-4215
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Country | US
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Telephone | 956-633-5369
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Fax | 877-748-7128
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Provider Business Mailing Address
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Address Line | 1474 W PRICE RD STE 7-406
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8687
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Country | US
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Telephone | 956-633-5369
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Fax | 877-748-7128
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL ALBERT LENZ
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Credential | MD
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Telephone | 956-633-5369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | J7553
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License Number State | TX
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