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General NPI Number Information
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NPI Number | 1689219222
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Entity Type | Organization
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Legal Business Name | DR. STEVEN C. WELLER, INC.
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 11/14/2019
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Provider Practice Location Address
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Address Line | 670 RISING SUN RD
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City | MILLERSBURG
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State | PA
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Zip | 17061-1245
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Country | US
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Telephone | 717-692-2122
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Fax | 717-692-4183
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Provider Business Mailing Address
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Address Line | 670 RISING SUN RD
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City | MILLERSBURG
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State | PA
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Zip | 17061-1245
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Country | US
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Telephone | 717-692-2122
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Fax | 717-692-4183
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | GINA L. WETZEL
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Credential |
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Telephone | 717-692-2122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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