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General NPI Number Information
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NPI Number | 1396847901
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Entity Type | Individual
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Provider Name | MICHAEL WIENER DDS
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Gender | Male
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Dates
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Enumeration Date | 09/03/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1007 ROUTE 82
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-6165
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Country | US
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Telephone | 845-226-1000
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Fax | 845-226-1004
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Provider Business Mailing Address
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Address Line | PO BOX 130
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-0130
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Country | US
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Telephone | 845-226-1000
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Fax | 845-226-1004
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 047467-1
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License Number State | NY
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