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General NPI Number Information
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NPI Number | 1548316706
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Entity Type | Individual
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Provider Name | WESLEY D FOREMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 4681 COLLEGE PARK DR
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City | ROUND ROCK
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State | TX
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Zip | 78665-1526
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Country | US
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Telephone | 512-825-9607
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 8235
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 512-503-1974
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | L6895
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License Number State | TX
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