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General NPI Number Information
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NPI Number | 1487884565
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Entity Type | Individual
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Provider Name | ONIS CORWIN WIEMERS RPH
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Gender | Male
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 200 S TEEL DR P.O. DRAWER-R
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City | DEVINE
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State | TX
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Zip | 78016-3210
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Country | US
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Telephone | 830-663-2224
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Fax | 830-665-3053
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Provider Business Mailing Address
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Address Line | 200 S TEEL DR P.O.DRAWER-R
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City | DEVINE
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State | TX
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Zip | 78016-3210
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Country | US
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Telephone | 830-663-2224
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Fax | 830-665-3053
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20843
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License Number State | TX
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