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General NPI Number Information
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NPI Number | 1497763544
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Entity Type | Organization
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Legal Business Name | MARGARET L. WADE DDS CHRTD
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1855 HOWELL ROAD
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6640
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Country | US
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Telephone | 301-739-4114
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Fax |
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Provider Business Mailing Address
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Address Line | 1855 HOWELL RD
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6640
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Country | US
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Telephone | 301-739-4114
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARGARET LOUISE WADE
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Credential | DDS
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Telephone | 301-739-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7865
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License Number State | MD
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