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General NPI Number Information
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NPI Number | 1689605545
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Entity Type | Individual
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Provider Name | ANDREW C WESELY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 605 SIERRA ROSE DR SUITE 4
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City | RENO
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State | NV
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Zip | 89511-2060
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Country | US
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Telephone | 775-689-5410
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Fax | 775-689-5431
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Provider Business Mailing Address
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Address Line | 5920 COUR SAINT MICHELLE
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City | RENO
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State | NV
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Zip | 89511-4315
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Country | US
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Telephone | 775-771-4749
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 7129
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 7129
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License Number State | NV
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