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General NPI Number Information
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NPI Number | 1093935983
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Entity Type | Individual
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Provider Name | PATRICIA E. WELCH C.O.T.A
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | WYOMING COUNTY COMMUNITY HOSPITAL 400 NORTH MAIN ST.
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City | WARSAW
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State | NY
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Zip | 14569
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Country | US
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Telephone | 585-786-2233
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Fax | 585-786-1268
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Provider Business Mailing Address
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Address Line | 7229 TRANSIT RD
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City | ELBA
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State | NY
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Zip | 14058-9741
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Country | US
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Telephone | 585-548-2844
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 004016-1
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License Number State | NY
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