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General NPI Number Information
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NPI Number | 1477584753
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Entity Type | Individual
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Provider Name | ALYSON DELANE WELLS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 10151 YORK RD SUITES 112-114
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City | HUNT VALLEY
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State | MD
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Zip | 21030-3314
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Country | US
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Telephone | 410-628-8200
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Fax | 410-628-8203
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Provider Business Mailing Address
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Address Line | 10151 YORK ROAD SUITES 112-114
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City | HUNT VALLEY
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State | MD
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Zip | 21030-3398
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Country | US
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Telephone | 410-628-8200
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Fax | 410-628-8203
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | D0052892
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License Number State | MD
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