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General NPI Number Information
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NPI Number | 1548464142
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Entity Type | Individual
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Provider Name | ANDRE MICHAEL WETZEL D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 150 MOREVIEW BLVD
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City | MORGANTOWN
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State | PA
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Zip | 19543-9100
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Country | US
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Telephone | 610-286-6626
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Fax |
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Provider Business Mailing Address
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Address Line | 908 SUTTERS MILL LN
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City | TEMPLE
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State | PA
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Zip | 19560-1146
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Country | US
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Telephone | 484-794-3235
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC009358
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License Number State | PA
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