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General NPI Number Information
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NPI Number | 1285298471
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Entity Type | Individual
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Provider Name | MACARTNEY WELBORN
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Gender | Female
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Dates
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Enumeration Date | 04/24/2019
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 131 W SUNSET RD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78209-2797
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Country | US
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Telephone | 210-225-8447
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Fax | 210-255-8446
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Provider Business Mailing Address
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Address Line | 131 W SUNSET RD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78209-2797
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Country | US
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Telephone | 210-255-8447
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Fax | 210-255-8446
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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 | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | V1918
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | V1918
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License Number State | TX
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