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Individual
WILLIAM DEWEASE II
Active
Individual
WILLIAM DEWEASE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
826742
TX
363L00000X
Nurse Practitioner
Primary
1028926
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
UNKNOWN
—
Enumeration date
03/02/2020
Last updated
09/14/2022
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