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NPI 1558920199

NPI 1558920199 : EILISH LYNN WELSH DMD : BRUNSWICK, OH

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General NPI Number Information
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    NPI Number           |    1558920199
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    Entity Type          |    Individual 
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    Provider Name        |    EILISH LYNN WELSH DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/07/2019
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    Last Update Date     |    01/14/2026
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Provider Practice Location Address
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    Address Line         |    1824 PEARL RD 
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    City                 |    BRUNSWICK
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    State                |    OH
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    Zip                  |    44212-3252
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    Country              |    US
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    Telephone            |    330-220-6363
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    Fax                  |    330-294-5652
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Provider Business Mailing Address
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    Address Line         |    1199 CAHOON RD 
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    City                 |    WESTLAKE
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    State                |    OH
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    Zip                  |    44145-1234
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    Country              |    US
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    Telephone            |    717-829-3450
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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        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    30.025869
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    License Number State |    OH
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