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General NPI Number Information
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NPI Number | 1407174923
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Entity Type | Individual
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Provider Name | DANIEL WUBNEH D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2010
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 1605 W FAIRBANKS AVE
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City | WINTER PARK
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State | FL
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Zip | 32789-4603
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Country | US
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Telephone | 407-845-8356
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Fax | 407-845-8357
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Provider Business Mailing Address
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Address Line | 1000 36TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-4862
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Country | US
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Telephone | 772-778-8687
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Fax | 772-794-1450
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | UO1849
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | OS13336
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License Number State | FL
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