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General NPI Number Information
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NPI Number | 1275712754
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Entity Type | Organization
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Legal Business Name | STEVE WELCH DESIGNS
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 3138 SOUTHLAKE PARK RD
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City | SOUTHLAKE
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State | TX
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Zip | 76092-2500
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Country | US
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Telephone | 832-378-7759
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Fax |
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Provider Business Mailing Address
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Address Line | 3138 SOUTHLAKE PARK RD
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City | SOUTHLAKE
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State | TX
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Zip | 76092-2500
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Country | US
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Telephone | 817-366-3564
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN WAYNE WELCH
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Credential |
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Telephone | 832-378-7759
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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 | 0093762
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License Number State | TX
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