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General NPI Number Information
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NPI Number | 1730497595
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Entity Type | Individual
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Provider Name | JENNIFER ANN WELCH CNP
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Gender | Female
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 18181 OAKWOOD BLVD STE 411
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City | DEARBORN
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State | MI
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Zip | 48124-4082
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Country | US
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Telephone | 313-438-7373
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Fax | 313-438-7375
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Provider Business Mailing Address
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Address Line | 401 S BALLENGER HWY
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City | FLINT
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State | MI
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Zip | 48532-3638
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Country | US
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Telephone | 810-342-5700
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Fax | 810-342-5545
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704248435
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License Number State | MI
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