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General NPI Number Information
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NPI Number | 1033468905
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Entity Type | Individual
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Provider Name | FRANK EDWIN WEAVER
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Gender | Male
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 12/21/2012
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Provider Practice Location Address
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Address Line | 2125 CENTERPOINTE PKWY
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City | SANTA MARIA
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State | CA
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Zip | 93455-1337
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Country | US
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Telephone | 805-346-7127
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Fax |
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Provider Business Mailing Address
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Address Line | 2125 CENTERPOINTE PKWY
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City | SANTA MARIA
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State | CA
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Zip | 93455-1337
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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