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General NPI Number Information
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NPI Number | 1063274553
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Entity Type | Organization
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Legal Business Name | SCOTT WELLING DDS INC
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 818 CIVIC CENTER DR
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City | OCEANSIDE
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State | CA
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Zip | 92054-2506
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Country | US
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Telephone | 760-722-4765
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Fax | 760-722-0980
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Provider Business Mailing Address
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Address Line | 818 CIVIC CENTER DR
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City | OCEANSIDE
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State | CA
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Zip | 92054-2506
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Country | US
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Telephone | 760-722-4765
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Fax | 760-722-0980
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | SCOTT B WELLING
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Credential | DDS
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Telephone | 614-623-1191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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