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General NPI Number Information
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NPI Number | 1124020078
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Entity Type | Individual
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Provider Name | MARION TIMOTHY WELLS MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1880 AMHERST STREET SUITE 100 AND SUITE 200
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City | WINCHESTER
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State | VA
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Zip | 22601
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Country | US
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Telephone | 540-662-0306
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Fax | 855-264-2066
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Provider Business Mailing Address
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Address Line | 220 CAMPUS BLVD STE 320
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City | WINCHESTER
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State | VA
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Zip | 22601-2889
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Country | US
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Telephone | 540-536-5100
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Fax | 540-536-0235
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101054453
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101054453
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License Number State | VA
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