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General NPI Number Information
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NPI Number | 1568177939
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Entity Type | Organization
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Legal Business Name | WES J IRWIN MD MS INC
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Dates
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Enumeration Date | 01/19/2023
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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 | 530-231-0601
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Authorized Official
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Title or Position | CEO
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Name | DR. WES J IRWIN
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Credential | MD MS
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Telephone | 530-545-1175
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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 |
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License Number State |
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