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General NPI Number Information
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NPI Number | 1871583252
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Entity Type | Individual
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Provider Name | WENDI WAITS MD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 09/17/2022
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Provider Practice Location Address
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Address Line | 109 W 27TH ST STE 5S
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City | NEW YORK
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State | NY
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Zip | 10001-6208
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Country | US
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Telephone | 833-351-8255
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 361
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City | KAILUA
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State | HI
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Zip | 96734-0361
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101222240
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 0101222240
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License Number State | VA
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