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General NPI Number Information
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NPI Number | 1841272895
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Entity Type | Individual
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Provider Name | PRISCILLA L WELCH MD
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Gender | Female
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 1523 HERITAGE LN
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City | FLORENCE
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State | SC
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Zip | 29505-3197
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Country | US
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Telephone | 843-673-9992
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Fax | 843-673-9996
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Provider Business Mailing Address
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Address Line | 8906 TWO NOTCH RD
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City | COLUMBIA
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State | SC
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Zip | 29223-6366
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Country | US
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Telephone | 803-254-3676
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Fax | 803-254-3678
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 13928
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License Number State | SC
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