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General NPI Number Information
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NPI Number | 1518923630
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Entity Type | Individual
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Provider Name | DAVID JOSEPH DURNIAK WOSKA MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 1348 WALTON WAY STE 5100
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City | AUGUSTA
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State | GA
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Zip | 30901-5108
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Country | US
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Telephone | 706-724-8611
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Fax |
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Provider Business Mailing Address
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Address Line | 6920 POINTE INVERNESS WAY STE 200
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City | FORT WAYNE
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State | IN
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Zip | 46804-7934
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Country | US
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Telephone | 260-479-3514
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Fax | 260-479-3520
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01086994A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | M-2090
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License Number State | GU
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 84791
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MTL-2017-087
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License Number State | GU
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