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General NPI Number Information
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NPI Number | 1275758302
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Entity Type | Organization
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Legal Business Name | B HARVEY WIENER, DDS., PA
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 800 E BROWARD BLVD SUITE 305
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2008
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Country | US
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Telephone | 954-463-9191
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Fax | 954-463-9194
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Provider Business Mailing Address
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Address Line | 800 E BROWARD BLVD SUITE 305
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2008
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Country | US
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Telephone | 954-463-9191
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Fax | 954-463-9194
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Authorized Official
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Title or Position | PRESIDENT/ ENDODONTIST
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Name | DR. B HARVEY WIENER
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Credential | DDS, MSCD, FRCD(C)
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Telephone | 954-463-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN7632
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License Number State | FL
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