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General NPI Number Information
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NPI Number | 1336385913
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Entity Type | Individual
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Provider Name | BRETT WENLEDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2009
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Last Update Date | 01/02/2009
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE. (C-301)
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City | MIAMI
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State | FL
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Zip | 33136
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Country | US
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Telephone | 305-585-6970
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Fax | 305-545-6501
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Provider Business Mailing Address
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Address Line | 1700 NW NORTH RIVER DR APT 701
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City | MIAMI
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State | FL
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Zip | 33125-2351
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Country | US
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Telephone | 305-519-6174
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | TRN11457
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | TRN11457
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | TRN11457
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License Number State | FL
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