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General NPI Number Information
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NPI Number | 1790055820
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Entity Type | Organization
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Legal Business Name | CHARLES H. WAPLES, M.D., P.C.
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 5801 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19139-3833
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Country | US
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Telephone | 215-747-9195
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Fax | 215-474-3438
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Provider Business Mailing Address
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Address Line | 5801 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19139-3833
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Country | US
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Telephone | 215-747-9195
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Fax | 215-474-3438
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Authorized Official
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Title or Position | PHYSICIAN
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Name | CHARLES H. WAPLES JR.
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Credential | M.D.
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Telephone | 215-747-9195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD021105-E
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License Number State | PA
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