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General NPI Number Information
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NPI Number | 1932531688
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Entity Type | Organization
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Legal Business Name | WENZEL HOLDINGS, LLC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 317 SEVEN SPRINGS WAY SUITE 205
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City | BRENTWOOD
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State | TN
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Zip | 37027-4575
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Country | US
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Telephone | 615-678-4636
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Fax | 615-678-4671
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Provider Business Mailing Address
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Address Line | 317 SEVEN SPRINGS WAY SUITE 205
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City | BRENTWOOD
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State | TN
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Zip | 37027-4575
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Country | US
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Telephone | 615-678-4636
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Fax | 615-678-4671
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Authorized Official
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Title or Position | OWNER
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Name | DR. AARON JAMES WENZEL
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Credential | M.D.
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Telephone | 615-678-4636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 46212
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License Number State | TN
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