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General NPI Number Information
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NPI Number | 1245306760
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Entity Type | Individual
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Provider Name | DAVID B WAIT MD
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Gender | Male
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 109 W 27TH ST STE 55
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City | NEW YORK
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State | NY
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Zip | 10001-0265
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Country | US
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Telephone | 917-634-5311
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Fax |
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Provider Business Mailing Address
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Address Line | 2662 MARCEILLE DR
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City | COEUR D ALENE
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State | ID
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Zip | 83815-5065
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Country | US
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Telephone | 208-964-4845
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | M8523
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License Number State | ID
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