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General NPI Number Information
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NPI Number | 1659707354
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Entity Type | Individual
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Provider Name | ROSSON W WIEBE ARNP
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Gender | Male
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Dates
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Enumeration Date | 09/25/2013
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 1131 SE INDIAN ST
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City | STUART
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State | FL
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Zip | 34997-5765
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Country | US
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Telephone | 866-802-6848
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Fax |
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Provider Business Mailing Address
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Address Line | 9126 SE MARS ST
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City | HOBE SOUND
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State | FL
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Zip | 33455-5471
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Country | US
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Telephone | 805-886-6971
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP60424960
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP9293716
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License Number State | FL
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