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General NPI Number Information
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NPI Number | 1659787414
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Entity Type | Individual
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Provider Name | NICHOLAS T WELCH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 110 5TH AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44503-1110
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Country | US
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Telephone | 330-480-4960
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Fax |
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Provider Business Mailing Address
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Address Line | 4747 NORQUEST BLVD
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City | AUSTINTOWN
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State | OH
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Zip | 44515-1634
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Country | US
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Telephone | 702-884-9506
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 35.138592
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License Number State | OH
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