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General NPI Number Information
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NPI Number | 1023067725
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Entity Type | Individual
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Provider Name | JAMES O. WELLS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 03/10/2015
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Provider Practice Location Address
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Address Line | 2300 HENDERSON MILL RD NE SUITE 421
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City | ATLANTA
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State | GA
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Zip | 30345-2745
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Country | US
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Telephone | 770-934-2585
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Fax | 770-493-6526
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Provider Business Mailing Address
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Address Line | 2249 GREENCREST DR NE
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City | ATLANTA
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State | GA
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Zip | 30345-2663
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Country | US
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Telephone | 770-934-2585
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Fax | 770-493-6526
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 13702
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License Number State | GA
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