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General NPI Number Information
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NPI Number | 1245119395
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Entity Type | Organization
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Legal Business Name | ALEXANDER WELGE
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 2313 EAST VENANGO ST STE 4B PMB 1048
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City | PHILADELPHIA
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State | PA
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Zip | 19134
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Country | US
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Telephone | 814-259-5242
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Fax | 814-259-5243
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Provider Business Mailing Address
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Address Line | PO BOX 78
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City | BRADFORD
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State | PA
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Zip | 16701-0078
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Country | US
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Telephone | 814-232-8077
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDER WELGE
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Credential | MD
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Telephone | 814-232-8077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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