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General NPI Number Information
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NPI Number | 1649439522
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Entity Type | Individual
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Provider Name | MARIPAT G WEHMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 49 PRINCE ST
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City | HARRISBURG
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State | PA
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Zip | 17109-3113
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Country | US
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Telephone | 717-901-3440
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Fax | 717-901-3447
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Provider Business Mailing Address
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Address Line | 2140 FISHER RD
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City | MECHANICSBURG
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State | PA
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Zip | 17055-5122
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Country | US
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Telephone | 717-766-1795
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Fax | 717-697-6575
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA000312L
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License Number State | PA
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