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General NPI Number Information
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NPI Number | 1295726222
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Entity Type | Individual
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Provider Name | WILLIAM ELLIOT WEDDLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 1613 OAKWOOD ST
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City | BEDFORD
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State | VA
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Zip | 24523-1213
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Country | US
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Telephone | 540-586-2441
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Fax |
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Provider Business Mailing Address
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Address Line | 77 HEAH TON LN
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City | LEXINGTON
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State | VA
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Zip | 24450-7427
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Country | US
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Telephone | 540-261-3388
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Fax |
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 0101029423
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License Number State | VA
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