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General NPI Number Information
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NPI Number | 1629040845
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Entity Type | Individual
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Provider Name | WAYNE E MASHAS MD
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 12/21/2020
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Provider Practice Location Address
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Address Line | 35 MEDICAL CENTER PKWY
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City | AUGUSTA
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State | ME
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Zip | 04330-8160
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Country | US
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Telephone | 207-621-4680
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Fax | 207-622-4085
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Provider Business Mailing Address
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Address Line | 251 SALINA MEADOWS PKWY STE 100
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City | SYRACUSE
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State | NY
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Zip | 13212-4516
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Country | US
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Telephone | 315-464-2000
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Fax | 315-464-2010
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 278096
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 278096
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | S5430
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | MD072744L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | ME129110
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD19452
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License Number State | ME
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