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General NPI Number Information
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NPI Number | 1174506810
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Entity Type | Individual
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Provider Name | ROBERT ALAN WEINER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 01/29/2012
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Provider Practice Location Address
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Address Line | 3120 HIGHLAND RD SUITE 201
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City | HERMITAGE
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State | PA
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Zip | 16148-4512
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Country | US
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Telephone | 724-342-1833
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Fax | 724-342-3391
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Provider Business Mailing Address
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Address Line | PO BOX 1032
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City | HERMITAGE
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State | PA
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Zip | 16148-0032
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Country | US
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Telephone | 706-660-8505
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Fax | 706-660-9390
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD035652E
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License Number State | PA
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