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General NPI Number Information
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NPI Number | 1245236280
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Entity Type | Individual
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Provider Name | MICHAEL P WARD MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 12/29/2011
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Provider Practice Location Address
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Address Line | 1155 MILL STREET
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City | RENO
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State | NV
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Zip | 89520-1576
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Country | US
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Telephone | 775-982-8100
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Fax | 775-982-4161
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Provider Business Mailing Address
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Address Line | PO BOX 39000 DEPT 34548
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City | SAN FRANCISCO
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State | CA
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Zip | 94139-0001
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Country | US
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Telephone | 775-823-1999
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Fax | 775-823-1996
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 10590
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License Number State | NV
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