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General NPI Number Information
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NPI Number | 1790862977
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Entity Type | Individual
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Provider Name | ROBERT LEO WELLNER DO
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 1461 COLESVILLE RD
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City | BETHLEHEM
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State | PA
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Zip | 18015-5221
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Country | US
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Telephone | 610-442-7807
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Fax | 609-895-1032
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Provider Business Mailing Address
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Address Line | 1461 COLESVILLE RD
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City | BETHLEHEM
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State | PA
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Zip | 18015-5221
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Country | US
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Telephone | 610-442-7807
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Fax | 609-895-1032
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 25MB07771400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | OS011916
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 20A8689
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS011916
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License Number State | PA
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