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General NPI Number Information
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NPI Number | 1023052859
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Entity Type | Individual
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Provider Name | PHILIP C WEIMER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 7800 SHERIDAN ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-2536
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Country | US
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Telephone | 954-893-8014
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Fax | 954-986-8306
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Provider Business Mailing Address
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Address Line | PO BOX 166279
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City | MIAMI
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State | FL
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Zip | 33116-6279
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Country | US
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Telephone | 305-380-1626
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Fax | 305-386-1635
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME30910
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License Number State | FL
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