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General NPI Number Information
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NPI Number | 1205207719
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Entity Type | Individual
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Provider Name | WESLEY E BARRY III M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 3841 PIPER ST STE T4-020
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City | ANCHORAGE
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State | AK
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Zip | 99508-4673
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Country | US
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Telephone | 907-929-7337
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Fax | 907-929-7330
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Provider Business Mailing Address
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Address Line | 137 N OAK KNOLL AVE UNIT 12
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City | PASADENA
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State | CA
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Zip | 91101-1874
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Country | US
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Telephone |
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 136499
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License Number State | CA
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