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General NPI Number Information
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NPI Number | 1114216652
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Entity Type | Organization
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Legal Business Name | BERND WOLLSCHLAEGER,MD PA
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 16899 NE 15TH AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2914
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Country | US
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Telephone | 305-940-8717
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Fax |
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Provider Business Mailing Address
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Address Line | 16899 NE 15TH AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2914
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Country | US
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Telephone | 305-940-8717
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Fax |
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Authorized Official
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Title or Position | CEO & PRESIDENT
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Name | DR. BERND ARTHUR WOLLSCHLAEGER
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Credential | MD
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Telephone | 305-940-8717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | ME72143
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License Number State | FL
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