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General NPI Number Information
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NPI Number | 1851405237
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Entity Type | Individual
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Provider Name | MYRTLE RUTH WELCH RN
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Gender | Female
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 1301 W FRANK AVE
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City | LUFKIN
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State | TX
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Zip | 75904-3305
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Country | US
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Telephone | 936-633-2719
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Fax |
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Provider Business Mailing Address
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Address Line | 139 COUNTY ROAD 4946
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City | ETOILE
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State | TX
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Zip | 75944-7642
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Country | US
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Telephone | 936-633-2719
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Fax | 936-633-2722
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 226135
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License Number State | TX
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