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General NPI Number Information
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NPI Number | 1003108101
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Entity Type | Individual
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Provider Name | DENNIS WILLIAM WEISEND R.PH
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Gender | Male
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 2110 WALES RD NE
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City | MASSILLON
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State | OH
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Zip | 44646-2302
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Country | US
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Telephone | 330-833-3194
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Fax |
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Provider Business Mailing Address
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Address Line | 1746 MOUNT PLEASANT ST NE
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City | CANTON
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State | OH
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Zip | 44721-1350
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Country | US
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Telephone | 330-494-2327
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 03111121
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License Number State | OH
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