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General NPI Number Information
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NPI Number | 1427342591
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Entity Type | Individual
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Provider Name | JONATHAN FRANKLIN WELLS MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 1200 12TH AVE S SUITE 901
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City | SEATTLE
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State | WA
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Zip | 98144-2712
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Country | US
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Telephone | 206-548-3114
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Fax | 206-762-6355
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Provider Business Mailing Address
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Address Line | PO BOX 3835
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City | SEATTLE
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State | WA
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Zip | 98124-3835
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Country | US
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Telephone | 206-548-3114
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Fax | 206-762-6355
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD60359582
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License Number State | WA
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Taxonomy #2
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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 | ML60224813
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License Number State | WA
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