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General NPI Number Information
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NPI Number | 1164301784
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Entity Type | Individual
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Provider Name | DANA STERLING WEAVER PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 800 WASHINGTON ST
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City | BOSTON
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State | MA
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Zip | 02111-1552
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Country | US
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Telephone | 617-636-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 16 KIDDER AVE APT 3
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City | SOMERVILLE
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State | MA
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Zip | 02144-2006
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Country | US
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Telephone | 508-330-7792
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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