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General NPI Number Information
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NPI Number | 1023009966
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Entity Type | Individual
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Provider Name | ANDREAS H WERLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 22655 BAYSHORE RD STE 110
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City | PORT CHARLOTTE
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State | FL
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Zip | 33980-2005
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Country | US
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Telephone | 941-235-4900
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Fax | 941-235-4901
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-343-6050
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Fax | 239-343-6136
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | L9010
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | 42792
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | ME121693
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License Number State | FL
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