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General NPI Number Information
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NPI Number | 1710199070
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Entity Type | Organization
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Legal Business Name | WEE CARE PEDIATRICS LLC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4107 LAFAYETTE BLVD SUITE 2
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-4266
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Country | US
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Telephone | 540-891-0246
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Fax | 540-891-0584
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Provider Business Mailing Address
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Address Line | 4107 LAFAYETTE BLVD SUITE 2
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-4266
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Country | US
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Telephone | 540-891-0246
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Fax | 540-891-0584
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | BERNADETTE N WELLS
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Credential | MD
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Telephone | 540-891-0246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101044803
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License Number State | VA
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