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General NPI Number Information
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NPI Number | 1114022456
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Entity Type | Individual
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Provider Name | CARLA WEAVER MD
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Gender | Female
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 100 HEALTH PARK DR
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City | LOUISVILLE
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State | CO
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Zip | 80027-9583
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Country | US
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Telephone | 303-673-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 9901 MEDICAL DR SUITE 500
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DR.0064376
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License Number State | CO
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