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General NPI Number Information
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NPI Number | 1881698298
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Entity Type | Individual
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Provider Name | DAVID A. WADAS AU.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 34 S MAIN ST
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City | WILKES BARRE
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State | PA
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Zip | 18701-1723
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Country | US
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Telephone | 570-822-6122
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Fax | 570-822-7809
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Provider Business Mailing Address
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Address Line | 34 S MAIN ST
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City | WILKES BARRE
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State | PA
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Zip | 18701-1723
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Country | US
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Telephone | 570-822-6122
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Fax | 570-822-7809
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT000017L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number | AT000017L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | AT000017L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AT000017L
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License Number State | PA
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