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General NPI Number Information
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NPI Number | 1235448184
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Entity Type | Organization
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Legal Business Name | SCOTT L WIESEN MD LLC
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Dates
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Enumeration Date | 09/27/2010
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 625 TAMIAMI TRL N SUITE 304
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City | NAPLES
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State | FL
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Zip | 34102-8143
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Country | US
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Telephone | 239-775-4444
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Fax | 239-775-4445
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Provider Business Mailing Address
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Address Line | 625 9TH ST N SUITE 304
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City | NAPLES
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State | FL
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Zip | 34102-8143
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Country | US
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Telephone | 239-775-4444
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Fax | 239-775-4445
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT L WIESEN
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Credential | M.D.
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Telephone | 239-775-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME53124
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License Number State | FL
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