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General NPI Number Information
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NPI Number | 1700273356
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Entity Type | Individual
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Provider Name | JEFFREY CLARK WERA JR. MD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 8726 US HWY 42
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City | FLORENCE
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State | KY
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Zip | 41042-9625
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Country | US
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Telephone | 859-301-2663
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Fax | 859-817-7848
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Provider Business Mailing Address
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Address Line | 560 S LOOP RD
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City | EDGEWOOD
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State | KY
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Zip | 41017-3405
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Country | US
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Telephone | 859-301-2663
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Fax | 859-817-7848
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MT209099
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35.142179
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 55415
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License Number State | KY
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