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General NPI Number Information
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NPI Number | 1104077585
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Entity Type | Individual
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Provider Name | KATHLEEN J WEISS MD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 8199 SOUTHPARK LN SUITE 100
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City | LITTLETON
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State | CO
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Zip | 80120-5667
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Country | US
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Telephone | 303-730-3332
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Fax | 303-730-7766
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone | 303-716-8013
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Fax | 303-763-5495
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 57.015992
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR.0050446
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License Number State | CO
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