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General NPI Number Information
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NPI Number | 1497899702
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Entity Type | Individual
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Provider Name | DOMINIC T. WESKAMP FNP
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Gender | Male
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 24300 E SMOKY HILL RD UNIT 120
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City | AURORA
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State | CO
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Zip | 80016-1387
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Country | US
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Telephone | 303-330-0410
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 SHEA CENTER DR STE 301
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2277
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Country | US
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Telephone | 303-330-0410
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2004023277
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | C.APN.000269-NP
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License Number State | CO
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