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General NPI Number Information
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NPI Number | 1174786404
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Entity Type | Organization
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Legal Business Name | WING AND WHEELER MD PA
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 250 DIXIE BLVD #102
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City | DELRAY BEACH
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State | FL
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Zip | 33444-3857
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Country | US
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Telephone | 561-278-2515
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Fax | 561-243-2130
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Provider Business Mailing Address
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Address Line | 250 DIXIE BLVD #102
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City | DELRAY BEACH
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State | FL
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Zip | 33444-3857
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Country | US
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Telephone | 561-278-2515
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Fax | 561-243-2130
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL K WHEELER
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Credential | MD
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Telephone | 561-278-2515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 0031686
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License Number State | FL
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