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General NPI Number Information
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NPI Number | 1376854695
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Entity Type | Individual
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Provider Name | GALEN WETZELL DPT
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Gender | Male
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 4956 LINCOLN DR
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City | EDINA
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State | MN
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Zip | 55436-1071
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Country | US
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Telephone | 952-936-9600
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Fax | 952-936-9536
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Provider Business Mailing Address
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Address Line | 7581 9TH ST N STE 100
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City | OAKDALE
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State | MN
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Zip | 55128-6635
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Country | US
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Telephone | 651-748-4338
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6708
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License Number State | OR
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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 | 8547
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License Number State | MN
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