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General NPI Number Information
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NPI Number | 1124022140
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Entity Type | Individual
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Provider Name | WILLIAM L WELDEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 07/14/2009
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Provider Practice Location Address
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Address Line | 436 S MUSTANG RD
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City | YUKON
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State | OK
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Zip | 73099-6754
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Country | US
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Telephone | 405-324-4000
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Fax | 405-577-2328
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Provider Business Mailing Address
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Address Line | 3433 NW 56TH ST STE 400
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4430
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Country | US
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Telephone | 405-324-4000
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Fax | 405-577-2328
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 18917
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License Number State | OK
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