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General NPI Number Information
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NPI Number | 1427915263
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Entity Type | Individual
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Provider Name | ELLEN M WAGER PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1159 RIVER RD
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City | MARIETTA
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State | PA
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Zip | 17547-1628
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Country | US
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Telephone | 717-426-1131
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Fax |
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Provider Business Mailing Address
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Address Line | 615 APPLE RD
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City | LANCASTER
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State | PA
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Zip | 17601-3401
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Country | US
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Telephone | 717-847-1003
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MA067135
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License Number State | PA
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