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General NPI Number Information
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NPI Number | 1093501538
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Entity Type | Individual
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Provider Name | MEREDITH WELLS
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Gender |
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 2450 VIRGINIA AVE NW APT E653
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City | WASHINGTON
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State | DC
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Zip | 20037-2652
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Country | US
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Telephone | 901-483-4325
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 VIRGINIA AVE NW APT E653
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City | WASHINGTON
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State | DC
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Zip | 20037-2652
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Country | US
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Telephone | 901-483-4325
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Fax |
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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 | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number | 1234567
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License Number State | TN
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