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General NPI Number Information
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NPI Number | 1811820913
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Entity Type | Organization
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Legal Business Name | WELL UP MEDICAL, INC.
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 621 KLAMATH AVE
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-6130
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Country | US
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Telephone | 548-887-9408
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Fax | 541-803-7963
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Provider Business Mailing Address
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Address Line | 5656 AUTUMN GOLD DR
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-8715
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Country | US
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Telephone | 541-887-9425
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Fax | 541-803-7963
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES PAUL EIMAN
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Credential |
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Telephone | 541-887-9425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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