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NPI 1174724199

NPI 1174724199 : ROBERT L. WEISS, MD, PC : NORWALK, CT

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General NPI Number Information
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    NPI Number           |    1174724199
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT L. WEISS, MD, PC 
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Dates
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    Enumeration Date     |    05/29/2007
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    Last Update Date     |    01/16/2008
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Provider Practice Location Address
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    Address Line         |    40 CROSS ST STE 230 
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    City                 |    NORWALK
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    State                |    CT
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    Zip                  |    06851-4661
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    Country              |    US
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    Telephone            |    203-845-2244
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    Fax                  |    203-845-2249
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Provider Business Mailing Address
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    Address Line         |    40 CROSS ST 
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    City                 |    NORWALK
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    State                |    CT
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    Zip                  |    06851-4647
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    Country              |    US
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    Telephone            |    203-845-2244
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    Fax                  |    203-845-2249
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ROBERT L. WEISS 
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    Credential           |    
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    Telephone            |    203-845-2244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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