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General NPI Number Information
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NPI Number | 1366123887
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Entity Type | Individual
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Provider Name | EMILY ROSE WEHLE PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 148 WALL BLVD
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City | GRETNA
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State | LA
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Zip | 70056-7107
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Country | US
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Telephone | 504-393-2273
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Fax | 504-393-2774
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Provider Business Mailing Address
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Address Line | 148 WALL BLVD
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City | GRETNA
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State | LA
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Zip | 70056-7107
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Country | US
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Telephone | 504-393-2273
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Fax | 504-393-2774
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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 | 338088
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License Number State | LA
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