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General NPI Number Information
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NPI Number | 1427262542
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Entity Type | Organization
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Legal Business Name | WUESTHOFF HEALTH SERVICES, INC., DBA CHILD PROTECTION TEAM
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2 SUNTREE PL
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City | MELBOURNE
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State | FL
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Zip | 32940-7689
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Country | US
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Telephone | 321-259-1883
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Fax | 321-259-1916
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Provider Business Mailing Address
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Address Line | 2 SUNTREE PL
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City | MELBOURNE
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State | FL
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Zip | 32940-7689
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Country | US
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Telephone | 321-259-1883
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Fax | 321-259-1916
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Authorized Official
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Title or Position | SR VICE PRES CHIEF FINANCE OFFICER
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Name | MR. GEORGE FAYER
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Credential |
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Telephone | 321-636-2211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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