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General NPI Number Information
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NPI Number | 1083083455
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Entity Type | Individual
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Provider Name | AUGIE WALLACE
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Gender | Male
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Dates
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Enumeration Date | 09/16/2015
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 8600 W CHESTER PIKE STE 308
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City | UPPER DARBY
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State | PA
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Zip | 19082-2629
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Country | US
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Telephone | 484-433-8208
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Fax |
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Provider Business Mailing Address
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Address Line | 4312 MAIN ST APT 316
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City | PHILADELPHIA
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State | PA
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Zip | 19127-1531
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Country | US
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Telephone | 484-433-8208
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 28613601
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License Number State | PA
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