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General NPI Number Information
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NPI Number | 1881081685
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Entity Type | Individual
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Provider Name | OMAR S WAQHAR D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 5401 QUARRY PARK RD
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City | MADISON
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State | WI
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Zip | 53718-7901
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Country | US
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Telephone | 844-767-3769
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Fax |
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Provider Business Mailing Address
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Address Line | 7422 S 50TH ST
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City | FRANKLIN
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State | WI
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Zip | 53132-7714
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Country | US
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Telephone | 928-785-7382
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Fax | 734-402-8987
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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 | 71368
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036.150172
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 02007204A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 5101021845
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License Number State | MI
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