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General NPI Number Information
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NPI Number | 1235257379
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Entity Type | Organization
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Legal Business Name | MALCOLM JOHN WEHRLE, M.D., A PROF CORP
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 1203 E VERMONT AVE
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City | ANAHEIM
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State | CA
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Zip | 92805-5622
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Country | US
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Telephone | 714-997-2674
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Fax | 206-426-5175
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Provider Business Mailing Address
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Address Line | 1203 E VERMONT AVE
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City | ANAHEIM
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State | CA
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Zip | 92805-5622
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Country | US
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Telephone | 714-997-2674
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Fax | 206-426-5175
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MALCOLM J WEHRLE
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Credential | M.D.
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Telephone | 818-790-9008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G64523
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License Number State | CA
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