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General NPI Number Information
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NPI Number | 1952729543
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Entity Type | Individual
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Provider Name | PHILIP WASEF
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Gender | Male
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 350 E COMMERCIAL RD SUITE 112
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-4745
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Country | US
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Telephone | 480-999-8295
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Fax | 480-999-8295
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Provider Business Mailing Address
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Address Line | 13000 BRUCE B DOWNS BLVD
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City | TAMPA
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State | FL
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Zip | 33612-4745
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Country | US
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Telephone | 813-972-2000
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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 | ME128210
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License Number State | FL
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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 | C191957
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License Number State | CA
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