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General NPI Number Information
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NPI Number | 1528941804
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Entity Type | Organization
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Legal Business Name | WELLSPRING RHINEBECK
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 187 E MARKET ST STE 204
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City | RHINEBECK
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State | NY
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Zip | 12572-1730
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Country | US
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Telephone | 412-212-8128
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Fax |
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Provider Business Mailing Address
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Address Line | 92 NEVIS RD
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City | TIVOLI
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State | NY
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Zip | 12583-5008
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Country | US
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Telephone | 845-756-4077
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM TEUBL
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Credential | MD
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Telephone | 845-756-4077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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