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General NPI Number Information
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NPI Number | 1104039833
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Entity Type | Individual
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Provider Name | MATTHEW A WEITZEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 802 NEW HOLLAND AVENUE SUITE 200
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City | LANCASTER
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State | PA
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Zip | 17602-2288
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Country | US
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Telephone | 717-544-4663
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Fax | 717-544-4312
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Provider Business Mailing Address
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Address Line | 304 N WATER ST
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City | LANCASTER
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State | PA
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Zip | 17603-3374
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Country | US
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Telephone | 717-299-6371
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Fax | 717-945-1584
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD433542
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License Number State | PA
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