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General NPI Number Information
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NPI Number | 1306889258
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Entity Type | Individual
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Provider Name | STEVEN WADE P.T., A.T.C.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVENUE
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City | FORT BRAGG
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State | NC
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Zip | 28310-0001
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Country | US
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Telephone | 910-951-0906
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Fax | 910-907-6069
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Provider Business Mailing Address
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Address Line | 2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
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City | FORT BRAGG
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State | NC
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Zip | 28310-0001
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Country | US
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Telephone | 910-951-0906
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Fax | 910-907-6069
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 3674
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License Number State | CO
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