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General NPI Number Information
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NPI Number | 1407022312
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Entity Type | Organization
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Legal Business Name | SCOTT A WELCH DDS PA
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 2016 NEW GARDEN RD SUITE D
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City | GREENSBORO
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State | NC
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Zip | 27410
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Country | US
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Telephone | 336-288-4499
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Fax | 336-286-8180
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Provider Business Mailing Address
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Address Line | 2016 NEW GARDEN RD SUITE D
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City | GREENSBORO
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State | NC
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Zip | 27410
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Country | US
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Telephone | 336-288-4499
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Fax | 336-286-8180
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Authorized Official
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Title or Position | DENTIST
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Name | SCOTT ALAN WELCH
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Credential | DDS PA
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Telephone | 336-288-4499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6099
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License Number State | NC
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