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Individual
WILLIAM K WADE
Active
Individual
WILLIAM K WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCP, COF, C.PED.
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C50109
MS
224L00000X
Pedorthist
C50109
MS
224P00000X
Prosthetist
Primary
C50109
MS
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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