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General NPI Number Information
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NPI Number | 1962535617
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Entity Type | Individual
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Provider Name | RALPH MICHAEL WURSTER DO
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 5730 SHERWOOD WAY
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City | SAN ANGELO
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State | TX
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Zip | 76901-5642
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Country | US
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Telephone | 325-944-3851
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Fax | 325-947-1626
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Provider Business Mailing Address
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Address Line | 5730 SHERWOOD WAY
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City | SAN ANGELO
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State | TX
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Zip | 76901-5642
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Country | US
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Telephone | 325-944-3851
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Fax | 325-947-1626
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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 | R9894
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0S6853
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License Number State | FL
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