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General NPI Number Information
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NPI Number | 1235267030
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Entity Type | Organization
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Legal Business Name | THOMAS E. WELAGE, O.D., P.C.
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/24/2009
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Provider Practice Location Address
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Address Line | 946 E MAIN ST
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City | GREENSBURG
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State | IN
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Zip | 47240-2305
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Country | US
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Telephone | 812-663-8405
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Fax | 812-663-9764
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Provider Business Mailing Address
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Address Line | 946 E MAIN ST
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City | GREENSBURG
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State | IN
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Zip | 47240-2305
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Country | US
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Telephone | 812-663-8405
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Fax | 812-663-9764
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. THOMAS EDWARD WELAGE
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Credential | O.D.
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Telephone | 812-663-8405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18002769
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License Number State | IN
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