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Individual
MR. WESLEY SCOTT TRUESDALE
Active
Individual
MR. WESLEY SCOTT TRUESDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
CP001787
NC
332BC3200X
Customized Equipment (DME)
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0482P
BCBS
NC
01
—
384410
BCBS
VA
05
—
7701327
—
NC
05
—
9190511
—
VA
Enumeration date
05/17/2006
Last updated
10/01/2013
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