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General NPI Number Information
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NPI Number | 1215926597
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Entity Type | Individual
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Provider Name | MARK WELLS MD
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Gender | Male
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 400 MATTHEW ST STE B-1
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City | MARIETTA
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State | OH
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Zip | 45750-1644
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Country | US
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Telephone | 740-568-5384
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Fax | 740-571-4739
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Provider Business Mailing Address
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Address Line | 5350 FRANTZ RD
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City | DUBLIN
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State | OH
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Zip | 43016-4259
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Country | US
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Telephone |
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Fax |
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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 | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 35069832
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 35069832
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License Number State | OH
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