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General NPI Number Information
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NPI Number | 1639124589
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Entity Type | Individual
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Provider Name | PAUL WOZNEY MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 3430 TAMIAMI TRL SUITE B
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8127
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Country | US
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Telephone | 941-883-8383
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Fax | 941-883-8386
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Provider Business Mailing Address
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Address Line | 3430 TAMIAMI TRL SUITE B
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8127
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Country | US
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Telephone | 941-883-8383
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Fax | 941-883-8386
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME0057990
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License Number State | FL
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