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General NPI Number Information
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NPI Number | 1598119810
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Entity Type | Individual
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Provider Name | MICHAEL WIRSCHING MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 4302 S SUGAR RD STE 100
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City | EDINBURG
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State | TX
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Zip | 78539-9140
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Country | US
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Telephone | 956-949-8189
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 MARAVILLA DR
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City | EDINBURG
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State | TX
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Zip | 78539-0037
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Country | US
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Telephone | 956-949-8189
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 291592
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | S7158
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License Number State | TX
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