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General NPI Number Information
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NPI Number | 1467913665
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Entity Type | Organization
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Legal Business Name | WELL P.C.
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Dates
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Enumeration Date | 03/29/2019
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Last Update Date | 03/29/2019
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Provider Practice Location Address
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Address Line | 50 BUCK CREEK RD SUITE 210
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City | AVON
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State | CO
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Zip | 81620
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Country | US
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Telephone | 970-688-1975
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Fax |
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Provider Business Mailing Address
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Address Line | 0056 EDWARDS VILLAGE BLVD SUITE 124; PMB 3000-164
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City | EDWARDS
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State | CO
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Zip | 81632
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. DAVID HILE
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Credential | MD
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Telephone | 970-688-1975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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