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General NPI Number Information
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NPI Number | 1649824608
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Entity Type | Individual
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Provider Name | ROBERT B WELLS PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 109 JEFFERSON ST
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City | GREENFIELD
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State | OH
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Zip | 45123-1364
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Country | US
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Telephone | 937-981-7133
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Fax |
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Provider Business Mailing Address
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Address Line | 1748 PHILLIP ST
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City | IRONTON
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State | OH
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Zip | 45638-1121
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Country | US
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Telephone | 740-550-6740
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 020853
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03438986
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License Number State | OH
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