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General NPI Number Information
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NPI Number | 1871714535
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Entity Type | Individual
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Provider Name | HEATHER SUE WELLS BPHIL
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 140 N 5TH ST
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City | HAMILTON
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State | OH
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Zip | 45011-3532
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Country | US
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Telephone | 513-863-6128
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Fax | 513-863-0524
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Provider Business Mailing Address
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Address Line | 6297 STONEWALL LN
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City | FAIRFIELD
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State | OH
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Zip | 45014-4631
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Country | US
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Telephone | 513-829-3108
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Fax | 513-887-3709
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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