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General NPI Number Information
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NPI Number | 1902701832
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Entity Type | Individual
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Provider Name | BRIAN J WESSON
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Gender | Male
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Dates
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Enumeration Date | 10/12/2026
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Last Update Date | 10/12/2026
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Provider Practice Location Address
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Address Line | 1007 CUSHING DR APT 26
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City | ROUND ROCK
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State | TX
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Zip | 78664-6762
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Country | US
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Telephone | 512-521-6493
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 CUSHING DR APT 26
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City | ROUND ROCK
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State | TX
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Zip | 78664-6762
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Country | US
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Telephone | 737-373-8798
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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 |
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License Number State | TX
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