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General NPI Number Information
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NPI Number | 1134323009
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Entity Type | Individual
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Provider Name | GERALD S. WEINTRAUB D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2285 FAIRFIELD RD
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City | GETTYSBURG
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State | PA
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Zip | 17325-7214
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Country | US
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Telephone | 717-337-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 333 FRIENDSHIP LN
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City | GETTYSBURG
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State | PA
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Zip | 17325-7259
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Country | US
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Telephone | 717-337-0273
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DS017140L
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License Number State | PA
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