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General NPI Number Information
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NPI Number | 1790399574
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Entity Type | Individual
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Provider Name | WESTON WYNNE ERNST NP
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Gender | Male
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 505 PARNASSUS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2204
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Country | US
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Telephone | 415-353-1007
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Fax |
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Provider Business Mailing Address
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Address Line | 505 PARNASSUS AVE M-917
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City | SAN FRANCISCO
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State | CA
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Zip | 94143
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Country | US
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Telephone | 415-353-1116
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Fax | 415-353-1990
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95015311
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License Number State | CA
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