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General NPI Number Information
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NPI Number | 1326248626
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Entity Type | Organization
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Legal Business Name | DARYL D WIER MD PA
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 1802 BELLEVUE AVE SUITE #102
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City | ORLANDO
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State | FL
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Zip | 32806-2933
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Country | US
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Telephone | 407-841-4220
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Fax |
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Provider Business Mailing Address
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Address Line | 930 ASHINGTON PL
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City | ORLANDO
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State | FL
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Zip | 32804-6905
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Country | US
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Telephone | 407-709-3564
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. NOEL WIER
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Credential |
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Telephone | 407-841-4220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 44599
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License Number State | FL
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