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General NPI Number Information
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NPI Number | 1558487439
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Entity Type | Organization
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Legal Business Name | ROBERT J. WETZEL
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 90 N 4TH ST FL 2
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City | MARTINS FERRY
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State | OH
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Zip | 43935-1648
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Country | US
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Telephone | 740-633-4127
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Fax | 740-633-4185
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Provider Business Mailing Address
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Address Line | 90 N 4TH ST FL 2
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City | MARTINS FERRY
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State | OH
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Zip | 43935-1648
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Country | US
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Telephone | 740-633-4127
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Fax | 740-633-4185
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT J WETZEL
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Credential | M.D.
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Telephone | 740-633-4127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35074056
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License Number State | OH
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