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General NPI Number Information
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NPI Number | 1285945519
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Entity Type | Organization
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Legal Business Name | DR. MITCHEL L. WESS, PA
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 2401 HIGHWAY 35 N
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City | ROCKPORT
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State | TX
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Zip | 78382-5704
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Country | US
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Telephone | 361-727-9595
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Fax | 361-727-9696
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Provider Business Mailing Address
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Address Line | 2401 HIGHWAY 35 N
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City | ROCKPORT
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State | TX
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Zip | 78382-5704
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Country | US
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Telephone | 361-727-9595
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Fax | 361-727-9696
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Authorized Official
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Title or Position | OWNER/ OPTOMETRIST
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Name | DR. MITCHEL L. WESS
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Credential | OD
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Telephone | 361-727-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | TX2399TG
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License Number State | TX
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