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General NPI Number Information
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NPI Number | 1316735814
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Entity Type | Individual
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Provider Name | JULIAN REED WISER EMT, CPHT, MHFA
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Gender | Male
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 221 W 77TH ST APT 11W
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City | NEW YORK
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State | NY
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Zip | 10024-6796
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Country | US
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Telephone | 212-401-4045
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Fax |
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Provider Business Mailing Address
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Address Line | 150 E 44TH ST APT 19H
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City | NEW YORK
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State | NY
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Zip | 10017-4073
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Country | US
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Telephone | 813-909-5136
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Fax |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 30297918
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 518910
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License Number State | NY
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