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General NPI Number Information
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NPI Number | 1336521095
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Entity Type | Individual
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Provider Name | MEGHAN C WELLS DPT
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Gender | Female
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-4204
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Country | US
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Telephone | 216-444-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 129 5TH ST SE
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City | BARBERTON
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State | OH
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Zip | 44203-4204
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Country | US
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Telephone | 330-631-0010
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Fax | 330-631-0011
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1155773
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT014068
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License Number State | OH
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