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General NPI Number Information
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NPI Number | 1457353294
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Entity Type | Individual
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Provider Name | ISIDORO WIENER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 902 FROSTWOOD DR 265
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City | HOUSTON
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State | TX
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Zip | 77024-2420
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Country | US
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Telephone | 713-785-5007
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Fax | 713-785-8877
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Provider Business Mailing Address
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Address Line | 902 FROSTWOOD DR 265
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City | HOUSTON
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State | TX
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Zip | 77024-2420
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Country | US
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Telephone | 713-785-5007
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Fax | 713-785-8877
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G5769
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License Number State | TX
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