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NPI 1023942471

NPI 1023942471 : CHLOE RENEE WEISSER PA-C : ORANGE CITY, FL

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General NPI Number Information
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    NPI Number           |    1023942471
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    Entity Type          |    Individual 
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    Provider Name        |    CHLOE RENEE WEISSER PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/10/2026
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    Last Update Date     |    06/10/2026
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Provider Practice Location Address
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    Address Line         |    1055 SAXON BLVD 
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    City                 |    ORANGE CITY
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    State                |    FL
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    Zip                  |    32763-8468
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    Country              |    US
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    Telephone            |    386-917-5000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4020 TRITON TRL APT 1A 
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    City                 |    HIGH POINT
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    State                |    NC
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    Zip                  |    27265-3670
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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