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General NPI Number Information
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NPI Number | 1134437767
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Entity Type | Organization
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Legal Business Name | THE WAGNER GROUP, INC.
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 3390 SW 131ST TER
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City | DAVIE
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State | FL
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Zip | 33330-4618
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Country | US
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Telephone | 954-370-7989
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Fax | 954-370-4833
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Provider Business Mailing Address
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Address Line | 3390 SW 131ST TER
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City | DAVIE
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State | FL
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Zip | 33330-4618
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Country | US
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Telephone | 954-370-7989
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Fax | 954-370-4833
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JOSEPH R WAGNER
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Credential |
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Telephone | 954-370-7989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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