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General NPI Number Information
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NPI Number | 1144864489
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Entity Type | Organization
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Legal Business Name | WELLDOC, INC.
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 10221 WINCOPIN CIR STE 150
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City | COLUMBIA
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State | MD
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Zip | 21044-3444
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Country | US
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Telephone | 443-692-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 10221 WINCOPIN CIR STE 150
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City | COLUMBIA
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State | MD
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Zip | 21044-3444
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Country | US
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Telephone | 443-692-3100
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Fax |
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Authorized Official
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Title or Position | SVP, OPERATIONS
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Name | CAROLINE YORK
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Credential |
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Telephone | 443-692-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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