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General NPI Number Information
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NPI Number | 1124563960
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Entity Type | Individual
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Provider Name | MICHELE WELLS-WALKER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/04/2017
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Last Update Date | 01/04/2017
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Provider Practice Location Address
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Address Line | 3020 HOSPITAL DR SUITE 100
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City | BATAVIA
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State | OH
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Zip | 45103-1962
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Country | US
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Telephone | 513-732-8517
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Fax | 513-732-8766
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Provider Business Mailing Address
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Address Line | 3020 HOSPITAL DRIVE SUITE 100
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City | BATAVIA
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State | OH
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Zip | 45103
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Country | US
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Telephone | 513-732-8517
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Fax | 513-732-8766
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03134440
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License Number State | OH
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