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General NPI Number Information
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NPI Number | 1659587434
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Entity Type | Organization
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Legal Business Name | WELLSPRING INTERNAL MEDICINE PA
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 959 MERRIMON AVE BLDG B STE 202
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City | ASHEVILLE
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State | NC
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Zip | 28804-2353
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Country | US
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Telephone | 828-225-6552
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Fax |
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Provider Business Mailing Address
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Address Line | 959 MERRIMON AVE BLDG B STE 202
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City | ASHEVILLE
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State | NC
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Zip | 28804-2353
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | DEBBIE REINELT
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Credential |
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Telephone | 828-891-5524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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