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General NPI Number Information
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NPI Number | 1255537627
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Entity Type | Individual
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Provider Name | MARIANA WESSLING
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Gender | Female
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 619 SOUTH HIGHWAY 77
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City | DOUGLASS
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State | KS
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Zip | 67039
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Country | US
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Telephone | 615-896-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 5409 ARLENE ST
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City | WICHITA
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State | KS
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Zip | 67220-4029
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Country | US
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Telephone | 316-681-1322
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 1401802
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License Number State | KS
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