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General NPI Number Information
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NPI Number | 1033387949
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Entity Type | Organization
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Legal Business Name | WILLIAM D. WEITZEL M.D., P.S.C.
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 1725 HARRODSBURG ROAD SUITE #128
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City | LEXINGTON
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State | KY
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Zip | 40504-3628
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Country | US
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Telephone | 859-277-5419
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 HARRODSBURG RD SUITE #128
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City | LEXINGTON
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State | KY
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Zip | 40504-3601
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Country | US
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Telephone | 859-277-5419
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Fax | 859-277-0929
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM D WEITZEL
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Credential | M.D.
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Telephone | 859-277-5419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 17349
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License Number State | KY
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