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General NPI Number Information
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NPI Number | 1417146283
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Entity Type | Individual
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Provider Name | PATRICK JOSEPH WELCH M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 03/23/2010
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Provider Practice Location Address
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Address Line | 200 BEAULLIEU DRIVE, BUILDING 1
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City | LAFAYETTE
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State | LA
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Zip | 70508-7230
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Country | US
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Telephone | 337-289-6808
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Fax | 337-289-6807
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Provider Business Mailing Address
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Address Line | 200 BEAULLIEU DRIVE, BUILDING 1
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City | LAFAYETTE
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State | LA
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Zip | 70508-7230
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Country | US
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Telephone | 337-289-6808
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Fax | 337-289-6807
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | MD12979R
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License Number State | LA
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