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General NPI Number Information
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NPI Number | 1538166715
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Entity Type | Individual
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Provider Name | WES JAMES IRWIN MD MS
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Gender | Male
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Dates
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Enumeration Date | 07/04/2005
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 300 E 2ND ST STE 1230
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City | RENO
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State | NV
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Zip | 89501-1587
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Country | US
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Telephone | 530-545-1175
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Fax |
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Provider Business Mailing Address
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Address Line | 710 LASSEN DR
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City | SOUTH LAKE TAHOE
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State | CA
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Zip | 96150-4446
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Country | US
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Telephone | 530-545-1175
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 44785-020
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A83047
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 10912
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License Number State | NV
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