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General NPI Number Information
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NPI Number | 1760610364
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Entity Type | Organization
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Legal Business Name | WETZEL FAMILY MEDICINE LLC
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 06/23/2009
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Provider Practice Location Address
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Address Line | 423 S WASHINGTON ST
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City | GETTYSBURG
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State | PA
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Zip | 17325-2526
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Country | US
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Telephone | 717-334-9535
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Fax | 717-337-0340
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Provider Business Mailing Address
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Address Line | 423 S WASHINGTON ST
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City | GETTYSBURG
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State | PA
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Zip | 17325-2526
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Country | US
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Telephone | 717-334-9535
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Fax | 717-337-0340
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRIS TOBIN WETZEL
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Credential | M.D.
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Telephone | 717-334-9535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD435351
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License Number State | PA
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