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General NPI Number Information
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NPI Number | 1922475151
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Entity Type | Organization
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Legal Business Name | WELLER HEALTH TRANSITIONS
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 1930 N LAKEMAN DR SUITE 109
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City | BELLBROOK
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State | OH
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Zip | 45305-1239
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Country | US
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Telephone | 937-203-3079
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Fax | 937-886-6609
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Provider Business Mailing Address
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Address Line | PO BOX 751595
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City | DAYTON
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State | OH
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Zip | 45475-1595
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Country | US
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Telephone | 937-203-3079
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Fax | 937-886-6609
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTINE WELLER
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Credential | DO, CMD
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Telephone | 937-203-3079
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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 | 34006682
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License Number State | OH
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