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General NPI Number Information
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NPI Number | 1013058932
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Entity Type | Individual
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Provider Name | DOUGLAS MCKAY WALLACE MD
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1201 NW 16TH ST MIAMI VA MEDICAL CENTER, DEPT OF NEUROLOGY
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City | MIAMI
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State | FL
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Zip | 33125-1624
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Country | US
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Telephone | 305-575-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 11104 SW 139TH CT
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City | MIAMI
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State | FL
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Zip | 33186-3251
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Country | US
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Telephone | 305-387-7346
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Fax | 305-387-4632
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME94643
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License Number State | FL
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