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General NPI Number Information
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NPI Number | 1164492278
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Entity Type | Individual
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Provider Name | RANDI EVANS WEISS PT
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Gender | Female
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 1417 WIGHTMAN ST
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City | PITTSBURGH
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State | PA
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Zip | 15217-1240
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Country | US
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Telephone | 412-760-0883
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Fax |
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Provider Business Mailing Address
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Address Line | 129 CALMONT DR
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City | PITTSBURGH
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State | PA
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Zip | 15235-5202
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Country | US
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Telephone | 412-849-2092
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT006201L
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License Number State | PA
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