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General NPI Number Information
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NPI Number | 1265097521
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Entity Type | Organization
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Legal Business Name | WELLS RESEARCH LLC
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 513 E STROOP RD
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City | KETTERING
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State | OH
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Zip | 45429-3224
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Country | US
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Telephone | 937-293-2157
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Fax | 937-293-1763
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Provider Business Mailing Address
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Address Line | 513 E STROOP RD
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City | KETTERING
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State | OH
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Zip | 45429-3224
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Country | US
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Telephone | 937-293-2157
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Fax | 937-293-1763
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Authorized Official
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Title or Position | OWNER
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Name | MS. PAULA JEAN WELLS
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Credential | RN
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Telephone | 937-293-2157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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