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General NPI Number Information
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NPI Number | 1043487648
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Entity Type | Organization
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Legal Business Name | STEVEN D WEISSMAN DMD PA
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 1031 KANE CONCOURSE
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City | BAY HARBOR
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State | FL
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Zip | 33154
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Country | US
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Telephone | 305-864-1656
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Fax | 305-861-2269
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Provider Business Mailing Address
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Address Line | 1031 KANE CONCOURSE
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City | BAY HARBOR
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State | FL
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Zip | 33154
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Country | US
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Telephone | 305-864-1656
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Fax | 305-861-2269
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. STEVEN D WEISSMAN
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Credential | DMD
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Telephone | 305-864-1656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9015
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License Number State | FL
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