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General NPI Number Information
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NPI Number | 1093002024
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Entity Type | Organization
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Legal Business Name | SOL WEISS, M.D.,INC
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 22030 SHERMAN WAY SUITE 118
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City | CANOGA PARK
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State | CA
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Zip | 91303-1855
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Country | US
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Telephone | 818-346-1515
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Fax | 818-346-1524
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Provider Business Mailing Address
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Address Line | 22030 SHERMAN WAY SUITE 118
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City | CANOGA PARK
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State | CA
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Zip | 91303-1855
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Country | US
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Telephone | 818-346-1515
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Fax | 818-346-1524
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Authorized Official
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Title or Position | OFFICER
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Name | SOL WEISS
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Credential | M.D.
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Telephone | 818-346-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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