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NPI 1003427402

NPI 1003427402 : WELBERLLC : CATSKILL, NY

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General NPI Number Information
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    NPI Number           |    1003427402
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    Entity Type          |    Organization 
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    Legal Business Name  |    WELBERLLC 
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Dates
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    Enumeration Date     |    08/11/2020
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    Last Update Date     |    08/11/2020
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Provider Practice Location Address
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    Address Line         |    41 5 MILE WOODS RD 
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    City                 |    CATSKILL
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    State                |    NY
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    Zip                  |    12414-5921
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    Country              |    US
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    Telephone            |    518-943-9454
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1387 GLASCO TPKE 
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    City                 |    SAUGERTIES
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    State                |    NY
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    Zip                  |    12477-3219
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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    |    OWNER
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    Name                 |     MARCI  WELBER 
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    Credential           |    DC
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    Telephone            |    914-806-7210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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