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General NPI Number Information
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NPI Number | 1255642435
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Entity Type | Organization
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Legal Business Name | VALERIE J WELLS MD LLP
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 40 E 84TH ST
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City | NEW YORK
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State | NY
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Zip | 10028-1115
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Country | US
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Telephone | 212-472-6500
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Fax | 212-472-1865
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Provider Business Mailing Address
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Address Line | 40 E 84TH ST
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City | NEW YORK
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State | NY
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Zip | 10028-1115
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Country | US
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Telephone | 212-472-6500
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Fax | 212-472-1865
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Authorized Official
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Title or Position | PARTNER
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Name | DR. VALERIE JAYNE WELLS
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Credential | M.D.
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Telephone | 212-472-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 216523
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License Number State | NY
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