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General NPI Number Information
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NPI Number | 1598796799
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Entity Type | Organization
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Legal Business Name | ROBERT L WAGUESPACK MD, APC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 2530 F ST SUITE 101
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City | BAKERSFIELD
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State | CA
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Zip | 93301-3843
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Country | US
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Telephone | 661-321-3303
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Fax | 661-321-3308
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Provider Business Mailing Address
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Address Line | PO BOX 406
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City | BAKERSFIELD
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State | CA
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Zip | 93302-0406
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Country | US
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Telephone | 661-321-3303
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Fax | 661-321-3308
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT L WAGUESPACK
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Credential | MD
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Telephone | 661-321-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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