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General NPI Number Information
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NPI Number | 1275577348
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Entity Type | Individual
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Provider Name | THOMAS R WELCH MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-1603
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Country | US
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Telephone | 352-273-9180
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Fax |
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Provider Business Mailing Address
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Address Line | 725 IRVING AVE STE 401
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City | SYRACUSE
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State | NY
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Zip | 13210-1603
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Country | US
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Telephone | 315-464-6340
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Fax | 315-464-6329
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME135047
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number | 120462
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number | ME135047
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License Number State | FL
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