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General NPI Number Information
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NPI Number | 1184622177
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Entity Type | Individual
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Provider Name | DAVID J WAGES MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 10/31/2013
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Provider Practice Location Address
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Address Line | 7 1ST AVE
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City | PEABODY
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State | MA
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Zip | 01960-4908
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Country | US
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Telephone | 978-531-6966
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Fax | 978-531-2221
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Provider Business Mailing Address
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Address Line | 340 MAIN ST STE. 670
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City | WORCESTER
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State | MA
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Zip | 01608-1604
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Country | US
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Telephone | 508-754-3566
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Fax | 508-798-8012
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 155310
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License Number State | MA
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