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General NPI Number Information
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NPI Number | 1740377530
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Entity Type | Individual
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Provider Name | WAFIC A. MASSRY M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 1003 S 5TH ST
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City | TACOMA
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State | WA
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Zip | 98405
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Country | US
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Telephone | 253-403-2551
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 S 5TH ST
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City | TACOMA
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State | WA
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Zip | 98405-4210
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Country | US
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Telephone | 253-403-2551
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | MD45016
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License Number State | WA
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