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General NPI Number Information
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NPI Number | 1629139100
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Entity Type | Individual
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Provider Name | MICHAEL PAUL WAJNRAJCH M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 462 1ST AVE SUITE 3C
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City | NEW YORK
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State | NY
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Zip | 10016-9196
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Country | US
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Telephone | 212-562-4141
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Fax | 212-263-8172
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Provider Business Mailing Address
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Address Line | 235 E 42ND ST MS 685-18-17
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City | NEW YORK
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State | NY
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Zip | 10017-5703
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Country | US
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Telephone | 212-733-9918
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Fax | 646-441-4488
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 188553
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License Number State | NY
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