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General NPI Number Information
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NPI Number | 1710533914
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Entity Type | Individual
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Provider Name | DAVID WAYNE SIGARS
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Gender | Male
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Dates
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Enumeration Date | 08/13/2019
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 801 VASSAR DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2725
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Country | US
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Telephone | 505-248-7730
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Fax |
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Provider Business Mailing Address
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Address Line | 4949 ROMA AVE NE APT 5
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-1359
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Country | US
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Telephone | 417-456-0108
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD15074
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License Number State | AR
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