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General NPI Number Information
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NPI Number | 1083612238
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Entity Type | Individual
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Provider Name | JED M WELLS D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 6828 SPRINGFIELD AVE SUITE 2
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City | LAREDO
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State | TX
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Zip | 78041-2286
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Country | US
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Telephone | 956-726-9797
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Fax | 956-726-9965
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Provider Business Mailing Address
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Address Line | PO BOX 60998
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City | CORPUS CHRISTI
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State | TX
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Zip | 78466-0998
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Country | US
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Telephone | 361-452-4978
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Fax | 361-452-5026
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | TX1355
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License Number State | TX
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