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General NPI Number Information
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NPI Number | 1164717740
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Entity Type | Individual
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Provider Name | JASON JAMES WEINER MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | DEPT OF INTERNAL MEDICINE, DIVISION OF RHEUMATOLOGY 34800 BOB WILSON DRIVE
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City | SAN DIEGO
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State | CA
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Zip | 92134
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Country | US
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Telephone | 619-532-7375
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Fax | 619-532-5472
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Provider Business Mailing Address
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Address Line | FILE 57326
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City | LOS ANGELES
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State | CA
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Zip | 90074-7326
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Country | US
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Telephone | 858-249-6748
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 0101252306
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A171534
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License Number State | CA
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