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General NPI Number Information
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NPI Number | 1477980274
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Entity Type | Organization
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Legal Business Name | WESLEY AT-HOME
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Dates
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Enumeration Date | 10/11/2013
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Last Update Date | 10/11/2013
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Provider Practice Location Address
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Address Line | 155 FENWAY ROAD
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City | COLUMBUS
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State | OH
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Zip | 43214
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Country | US
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Telephone | 614-633-9826
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Fax |
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Provider Business Mailing Address
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Address Line | 155 FENWAY RD
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City | COLUMBUS
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State | OH
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Zip | 43214-1407
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Country | US
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Telephone | 614-633-9826
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ROBERT WEHNER
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Credential |
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Telephone | 614-396-4813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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