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General NPI Number Information
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NPI Number | 1700840139
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Entity Type | Individual
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Provider Name | JEFFREY WELK PT
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Gender | Male
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 9100 BABCOCK BLVD FL 5
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City | PITTSBURGH
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State | PA
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Zip | 15237-5815
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Country | US
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Telephone | 412-748-6452
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Fax |
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Provider Business Mailing Address
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Address Line | 2730 PITTSBURGH CT
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City | SEWICKLEY
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State | PA
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Zip | 15143-6514
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Country | US
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Telephone | 141-274-8526
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017571
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License Number State | PA
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