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General NPI Number Information
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NPI Number | 1477740801
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Entity Type | Organization
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Legal Business Name | GWELLA RHEUMATOLOGY
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 04/03/2008
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Provider Practice Location Address
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Address Line | 618 PLEASANTVILLE RD SUITE 201
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City | LANCASTER
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State | OH
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Zip | 43130-3312
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Country | US
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Telephone | 740-689-6408
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Fax | 740-689-6409
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Provider Business Mailing Address
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Address Line | 1153 E MAIN ST
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City | LANCASTER
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State | OH
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Zip | 43130-4056
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Country | US
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Telephone | 740-687-8343
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Fax | 740-687-8230
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LORI B PARRISH
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Credential |
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Telephone | 740-687-8095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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