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General NPI Number Information
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NPI Number | 1982778189
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Entity Type | Organization
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Legal Business Name | MICHAEL WELTHER
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 9 CHURCH STREET
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City | ARLINGTON
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State | VT
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Zip | 05250
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Country | US
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Telephone | 802-375-6566
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Fax | 802-375-6828
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Provider Business Mailing Address
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Address Line | PO BOX 690
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City | ARLINGTON
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State | VT
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Zip | 05250-0690
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Country | US
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Telephone | 802-375-6566
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Fax | 802-375-6828
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Authorized Official
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Title or Position | OWNER PROPRIETOR
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Name | MICHAEL J WELTHER
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Credential | MD
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Telephone | 802-375-6566
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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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