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General NPI Number Information
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NPI Number | 1386816239
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Entity Type | Organization
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Legal Business Name | SAFA F WAGDI MD INC
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 1002 BROAD ST SUITE 7
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City | CENTRAL FALLS
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State | RI
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Zip | 02863-1500
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Country | US
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Telephone | 401-723-0030
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Fax | 401-722-4950
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Provider Business Mailing Address
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Address Line | 1002 BROAD ST SUITE 7
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City | CENTRAL FALLS
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State | RI
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Zip | 02863-1500
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Country | US
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Telephone | 401-723-0030
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Fax | 401-722-4950
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAFA F WAGDI
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Credential |
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Telephone | 401-723-0030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 5337
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License Number State | RI
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