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NPI Code Detail

MEDICARE: DR. KERIN WEINGARTEN

MEDICARE:  DR. KERIN  WEINGARTEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-09-5781

General Provider Information

NPI Number : 1851713515
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KERIN WEINGARTEN
Provider Business Mailing Address
First Line : 111 MACKENAN DR
Second Line :
City : CARY
State : NC
Zip : 27511-7903
Country : US
Telephone Number : 919-371-2848
Fax Number :
Provider Business Practice Location Address
First Line : 111 MACKENAN DR
Second Line :
City : CARY
State : NC
Zip : 27511-7903
Country : US
Telephone Number : 919-371-2848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2014
Last Update Date : 01/15/2014

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Directions to “ DR. KERIN WEINGARTEN ” Practice Location

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