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General NPI Number Information
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NPI Number | 1255920518
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Entity Type | Organization
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Legal Business Name | WELLSPECT INC
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 1297 FLYNN RD STE 230
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City | CAMARILLO
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State | CA
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Zip | 93012-8041
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Country | US
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Telephone | 877-456-3742
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Fax | 866-666-6250
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Provider Business Mailing Address
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Address Line | 1235 FRIENDSHIP RD STE 205
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City | BRASELTON
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State | GA
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Zip | 30517-5626
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Country | US
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Telephone | 877-356-3742
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | RYAN DOBREZ
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Credential |
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Telephone | 815-341-9291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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