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General NPI Number Information
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NPI Number | 1114732278
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Entity Type | Organization
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Legal Business Name | HEALTHSTAT INC.
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 1021 TYGER LAKE RD
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City | SPARTANBURG
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State | SC
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Zip | 29301-5212
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Country | US
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Telephone | 864-336-6588
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Fax |
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Provider Business Mailing Address
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Address Line | 10 W MARKET ST STE 2900
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-2964
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Country | US
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Telephone | 866-434-3255
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JEFF WELLS
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Credential | MD
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Telephone | 317-985-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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