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General NPI Number Information
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NPI Number | 1578763538
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Entity Type | Individual
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Provider Name | MICHAEL S WETTER D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 06/16/2011
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Provider Practice Location Address
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Address Line | 809 DELAWARE AVE
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City | FORT PIERCE
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State | FL
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Zip | 34950-8557
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Country | US
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Telephone | 772-429-0996
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Fax |
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Provider Business Mailing Address
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Address Line | 3408 AVIATION BLVD
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City | VERO BEACH
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State | FL
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Zip | 32960-1954
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Country | US
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Telephone | 772-410-5167
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH0005837
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License Number State | FL
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