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General NPI Number Information
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NPI Number | 1255439683
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Entity Type | Individual
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Provider Name | MICHAEL J WARD M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 455 WOODVIEW RD STE 210
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City | WEST GROVE
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State | PA
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Zip | 19390-9301
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Country | US
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Telephone | 610-345-0977
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Fax | 610-345-0986
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Provider Business Mailing Address
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Address Line | 455 WOODVIEW RD STE 210
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City | WEST GROVE
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State | PA
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Zip | 19390-9301
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Country | US
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Telephone | 610-345-0977
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Fax | 610-902-6081
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | MD067134L
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License Number State | PA
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