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General NPI Number Information
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NPI Number | 1255610309
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Entity Type | Organization
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Legal Business Name | W E S ENTERPRISE
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Dates
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Enumeration Date | 08/08/2011
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 7300 BUCKNELL DR
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City | AUSTIN
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State | TX
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Zip | 78723-1632
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Country | US
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Telephone | 469-364-0800
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Fax | 512-927-8470
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Provider Business Mailing Address
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Address Line | 7300 BUCKNELL DR
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City | AUSTIN
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State | TX
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Zip | 78723-1632
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Country | US
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Telephone | 469-364-0800
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Fax | 512-927-8470
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Authorized Official
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Title or Position | MEDICAL BILLING, HOME HEALTH AGENCY
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Name | WANDA PRICE
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Credential | OWNER
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Telephone | 469-364-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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License Number |
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License Number State |
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