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General NPI Number Information
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NPI Number | 1275649345
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Entity Type | Organization
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Legal Business Name | WESEMANN MEDICAL SERVICE INC.
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 251 E JEFFERSON
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City | FRANKLIN
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State | IN
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Zip | 46131
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Country | US
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Telephone | 317-736-6121
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Fax | 317-736-9811
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Provider Business Mailing Address
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Address Line | 251 E JEFFERSON ST
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City | FRANKLIN
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State | IN
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Zip | 46131
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Country | US
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Telephone | 317-736-6121
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Fax | 317-736-9811
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Authorized Official
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Title or Position | OWNER
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Name | DR. MERRILL MAX WESEMANN
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Credential | MD
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Telephone | 317-736-6121
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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 | 19510
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License Number State | IN
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