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General NPI Number Information
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NPI Number | 1043294903
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Entity Type | Individual
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Provider Name | THERESE MARIE WEBER M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 619 19TH STREET SOUTH
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City | BIRMINGHAM
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State | AL
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Zip | 35233
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Country | US
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Telephone | 205-934-6600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55310
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City | BIRMINGHAM
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State | AL
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Zip | 35255-5310
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Country | US
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Telephone | 205-731-9701
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 37975
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 17984
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 37975
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 37975
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License Number State | NC
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