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General NPI Number Information
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NPI Number | 1063563542
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Entity Type | Individual
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Provider Name | JOSEPH P. WEIGEL N.P.
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Gender | Male
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 9808 VENICE BLVD #700
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City | CULVER CITY
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State | CA
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Zip | 90232-2732
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Country | US
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Telephone | 310-945-3350
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Fax |
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Provider Business Mailing Address
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Address Line | 19325 E SWANEE LN
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City | COVINA
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State | CA
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Zip | 91723-3257
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Country | US
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Telephone | 626-332-1551
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R.N. 586797
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 16725
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License Number State | CA
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