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General NPI Number Information
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NPI Number | 1912667734
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Entity Type | Organization
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Legal Business Name | WELLCARE INC
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 1226 NATIONAL HWY
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City | LAVALE
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State | MD
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Zip | 21502-7603
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Country | US
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Telephone | 301-729-2235
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Fax |
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Provider Business Mailing Address
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Address Line | 1 SCIENCE PARK
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City | FROSTBURG
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State | MD
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Zip | 21532-2024
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Country | US
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Telephone | 301-729-2235
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVE WEIMER
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Credential |
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Telephone | 301-268-4064
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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 |
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License Number State |
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