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General NPI Number Information
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NPI Number | 1407838949
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Entity Type | Individual
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Provider Name | WILLIAM ALAN WIEN DO
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 1689 E MAIN ST SUITE 1
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City | FREELAND
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State | WA
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Zip | 98249
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Country | US
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Telephone | 360-331-4424
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Fax | 360-331-1679
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Provider Business Mailing Address
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Address Line | 22405 5TH PL W
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City | BOTHELL
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State | WA
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Zip | 98021-9709
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Country | US
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Telephone | 360-331-4424
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Fax | 360-331-1679
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP00001588
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License Number State | WA
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