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General NPI Number Information
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NPI Number | 1689893018
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Entity Type | Individual
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Provider Name | VIKKI ANGERT WIENER D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 05/23/2011
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Provider Practice Location Address
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Address Line | 8340 COLLIER BLVD SUITE 204
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City | NAPLES
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State | FL
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Zip | 34114-3625
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Country | US
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Telephone | 480-518-1776
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Fax | 239-325-9045
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Provider Business Mailing Address
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Address Line | 8340 COLLIER BLVD SUITE 204
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City | NAPLES
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State | FL
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Zip | 34114
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Country | US
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Telephone | 239-354-4316
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Fax | 239-354-4329
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3007
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | OS-8610
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License Number State | FL
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