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General NPI Number Information
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NPI Number | 1013983956
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Entity Type | Individual
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Provider Name | NANCY JEAN WEIR A.T.,C.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 3406 UNIVERSITY CIR WEBER STATE UNIVERSITY
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City | OGDEN
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State | UT
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Zip | 84408-3406
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Country | US
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Telephone | 801-626-7014
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Fax | 801-626-7014
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Provider Business Mailing Address
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Address Line | 796 E 650 S
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City | OGDEN
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State | UT
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Zip | 84404-4435
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Country | US
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Telephone | 801-394-9143
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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