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General NPI Number Information
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NPI Number | 1508994088
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Entity Type | Organization
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Legal Business Name | WILLIAM H NUESSE M D AND MARY ANN NUESSE D O A MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 867 S TUSTIN ST
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City | ORANGE
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State | CA
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Zip | 92866-3426
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Country | US
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Telephone | 714-771-1420
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Fax | 714-771-6918
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Provider Business Mailing Address
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Address Line | 867 S TUSTIN ST
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City | ORANGE
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State | CA
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Zip | 92866-3426
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Country | US
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Telephone | 714-771-1420
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Fax | 714-771-6918
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. WILLIAM H. NUESSE
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Credential | M.D.
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Telephone | 714-771-1420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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