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General NPI Number Information
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NPI Number | 1003651274
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Entity Type | Individual
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Provider Name | MARY WEAVER DPT
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Gender | Female
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Dates
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Enumeration Date | 06/28/2024
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 6877 PENN AVE
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City | WERNERSVILLE
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State | PA
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Zip | 19565-9611
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Country | US
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Telephone | 267-470-1449
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 39292573
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City | PITTSBURGH
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State | PA
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Zip | 15251-1957
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT032361
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License Number State | PA
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