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General NPI Number Information
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NPI Number | 1861162604
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Entity Type | Individual
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Provider Name | DAVID WABWILE APRN
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Gender | Male
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 9 SHELDON ROAD
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City | DERRY
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State | NH
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Zip | 03038
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Country | US
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Telephone | 612-749-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 9 SHELDON RD
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City | DERRY
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State | NH
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Zip | 03038-5744
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Country | US
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Telephone | 612-749-5225
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2282396
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 081303-23
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License Number State | NH
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