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General NPI Number Information
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NPI Number | 1013316595
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Entity Type | Organization
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Legal Business Name | S.G. WEISS, M.D., INC.
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 3251 N MCMULLEN BOOTH RD SUITE 300
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City | CLEARWATER
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State | FL
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Zip | 33761-2022
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Country | US
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Telephone | 727-791-3337
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Fax | 727-725-2577
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Provider Business Mailing Address
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Address Line | 3251 N MCMULLEN BOOTH RD SUITE 300
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City | CLEARWATER
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State | FL
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Zip | 33761-2022
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Country | US
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Telephone | 727-791-3337
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Fax | 727-725-2577
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN G WEISS
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Credential | M.D.
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Telephone | 727-791-3337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0044131
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License Number State | FL
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