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General NPI Number Information
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NPI Number | 1396360731
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Entity Type | Individual
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Provider Name | KATELIN WELCH
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Gender | Female
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 806 LAUREL ST
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City | CRESTON
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State | IA
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Zip | 50801-3554
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Country | US
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Telephone | 641-782-6951
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Fax | 641-782-6960
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Provider Business Mailing Address
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Address Line | 2344 195TH ST
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City | AFTON
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State | IA
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Zip | 50830-8195
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Country | US
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Telephone | 641-202-6111
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23014
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License Number State | IA
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