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General NPI Number Information
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NPI Number | 1184889198
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Entity Type | Organization
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Legal Business Name | WELLSHOD, LLC
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Dates
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Enumeration Date | 07/20/2008
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Last Update Date | 07/20/2008
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Provider Practice Location Address
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Address Line | 7500 N MESA ST SUITE 105
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City | EL PASO
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State | TX
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Zip | 79912-3501
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Country | US
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Telephone | 915-587-0707
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 N MESA ST SUITE 105
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City | EL PASO
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State | TX
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Zip | 79912-3501
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Country | US
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Telephone | 915-587-0707
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HSIAO-CH'UN YU
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Credential | DPM
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Telephone | 575-644-9356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1004
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License Number State | TX
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