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General NPI Number Information
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NPI Number | 1609758291
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Entity Type | Organization
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Legal Business Name | WTB MEDICAL LLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 3160 SHORELINE DR
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City | LEWIS CENTER
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State | OH
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Zip | 43035-9231
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Country | US
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Telephone | 740-604-0117
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Fax |
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Provider Business Mailing Address
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Address Line | 3160 SHORELINE DR
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City | LEWIS CENTER
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State | OH
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Zip | 43035-9231
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Country | US
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Telephone | 740-604-0117
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MICHELLE LYNN BEGUE
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Credential | APRN-CNP
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Telephone | 740-604-0117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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