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General NPI Number Information
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NPI Number | 1689861486
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Entity Type | Individual
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Provider Name | JENNIFER LOUISE WELCH D.C.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 2 GREENMANVILLE AVE SUITE B
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City | MYSTIC
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State | CT
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Zip | 06355-2753
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Country | US
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Telephone | 860-536-6888
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Fax | 860-536-6889
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Provider Business Mailing Address
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Address Line | 2 GREENMANVILLE AVE SUITE B
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City | MYSTIC
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State | CT
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Zip | 06355-2753
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Country | US
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Telephone | 860-536-6888
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Fax | 860-536-6889
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 001687
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIA-1191
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 770-0806
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 664
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License Number State | WY
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