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General NPI Number Information
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NPI Number | 1508551896
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Entity Type | Organization
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Legal Business Name | MELANIE WEHRMAN OPTOMETRY
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 1265 SGT JON STILES DR
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2263
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Country | US
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Telephone | 303-791-1984
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Fax |
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Provider Business Mailing Address
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Address Line | 147 COUNTY ROAD 2300 N
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City | MAHOMET
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State | IL
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Zip | 61853-8902
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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 | OPTOMETRIST
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Name | MELANIE WEHRMAN
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Credential | OD
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Telephone | 217-979-1109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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