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General NPI Number Information
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NPI Number | 1326224122
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Entity Type | Organization
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Legal Business Name | DAVID B. WARE, M.D., A.P.M.C.
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 281 MOOSA BLVD
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City | EUNICE
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State | LA
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Zip | 70535-3638
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Country | US
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Telephone | 337-457-2200
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Fax | 337-457-2203
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Provider Business Mailing Address
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Address Line | 281 MOOSA BLVD
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City | EUNICE
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State | LA
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Zip | 70535-3638
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Country | US
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Telephone | 337-457-2200
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Fax | 337-457-2203
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID BENJAMIN WARE
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Credential | M.D.
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Telephone | 337-457-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 14666R
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License Number State | LA
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