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General NPI Number Information
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NPI Number | 1417459561
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Entity Type | Organization
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Legal Business Name | WELSH COMPANY LLC
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Dates
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Enumeration Date | 03/05/2018
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Last Update Date | 03/05/2018
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Provider Practice Location Address
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Address Line | 1840 E WARNER RD STE 120
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City | TEMPE
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State | AZ
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Zip | 85284-3445
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Country | US
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Telephone | 480-848-5411
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Fax |
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Provider Business Mailing Address
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Address Line | 860 W MOUNTAIN VIEW DR
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City | MESA
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State | AZ
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Zip | 85201-3125
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Country | US
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Telephone | 480-848-5411
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHRISTOPHER WELSH
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Credential | FNP-C
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Telephone | 480-848-5411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | AP10335
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License Number State | AZ
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