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General NPI Number Information
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NPI Number | 1831483122
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Entity Type | Individual
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Provider Name | PAUL ALAN WETTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 06/03/2011
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Provider Practice Location Address
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Address Line | 7330 SW 62ND PL STE 410
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4825
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Country | US
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Telephone | 305-439-8992
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Fax |
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Provider Business Mailing Address
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Address Line | 7330 SW 62ND PL STE 410
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4825
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Country | US
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Telephone | 305-439-8992
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME 29166
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License Number State | FL
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