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General NPI Number Information
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NPI Number | 1386006575
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Entity Type | Individual
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Provider Name | THOMAS WELLS D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2016
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 484 GOLDEN AUTUMN WAY STE 201
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City | BOWLING GREEN
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State | KY
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Zip | 42103-6914
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Country | US
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Telephone | 270-783-3300
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Fax | 270-780-0475
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Provider Business Mailing Address
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Address Line | 201 PARK ST
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City | BOWLING GREEN
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State | KY
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Zip | 42101-1708
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Country | US
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Telephone | 270-783-3300
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Fax | 270-780-0475
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 05487
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License Number State | KY
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