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General NPI Number Information
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NPI Number | 1356656367
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Entity Type | Organization
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Legal Business Name | DONALD G. WEGENER,D.C.,P.C.
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 7311 CLINTON HWY SUITE A
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City | POWELL
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State | TN
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Zip | 37849-5224
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Country | US
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Telephone | 865-938-8700
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Fax | 865-938-8706
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Provider Business Mailing Address
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Address Line | 7311 CLINTON HWY SUITE A
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City | POWELL
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State | TN
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Zip | 37849-5224
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Country | US
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Telephone | 865-938-8700
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Fax | 865-938-8706
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD GILBERT WEGENER
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Credential | D.C.,P.C.
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Telephone | 865-938-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 5159192
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License Number State | TN
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