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General NPI Number Information
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NPI Number | 1699945345
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Entity Type | Organization
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Legal Business Name | SHARON F WAGER, MD, PA
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 12202 QUAIL CREEK DR
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City | HOUSTON
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State | TX
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Zip | 77070-2215
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Country | US
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Telephone | 281-251-1939
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Fax |
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Provider Business Mailing Address
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Address Line | 12202 QUAIL CREEK DR
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City | HOUSTON
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State | TX
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Zip | 77070-2215
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Country | US
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Telephone | 281-251-1939
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHARON F WAGER
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Credential | MD
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Telephone | 281-251-1939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | J2918
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License Number State | TX
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