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General NPI Number Information
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NPI Number | 1285602649
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Entity Type | Individual
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Provider Name | DAVID A WELCH PA
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 03/02/2009
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Provider Practice Location Address
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Address Line | 1001 E. 21ST ST. STE 301
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City | SIOUX FALLS
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State | SD
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Zip | 57105
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Country | US
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Telephone | 605-322-7350
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Fax | 605-322-7351
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Provider Business Mailing Address
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Address Line | PO BOX 86370
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City | SIOUX FALLS
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State | SD
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Zip | 57118-6370
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Country | US
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Telephone | 605-322-7510
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Fax | 605-322-6475
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 0617
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License Number State | SD
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