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General NPI Number Information
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NPI Number | 1841339249
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Entity Type | Individual
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Provider Name | DENN B. WESSON
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1307 I ST
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City | MODESTO
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State | CA
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Zip | 95354-0913
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Country | US
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Telephone | 209-524-6111
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Fax | 209-524-6177
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Provider Business Mailing Address
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Address Line | 1405 LOUISE AVE
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City | MODESTO
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State | CA
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Zip | 95350-5722
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Country | US
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Telephone | 209-526-3261
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Fax | 209-526-3261
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA1348
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License Number State | CA
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