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General NPI Number Information
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NPI Number | 1568799245
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Entity Type | Individual
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Provider Name | MICHAEL WELNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 224 WEST 30TH ST 806
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City | NEW YORK
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State | NY
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Zip | 10001
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Country | US
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Telephone | 212-535-9286
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Fax |
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Provider Business Mailing Address
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Address Line | 148 WEST 23RD ST
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 212-535-9286
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 185020
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License Number State | NY
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