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General NPI Number Information
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NPI Number | 1174798946
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Entity Type | Organization
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Legal Business Name | MICKEY WEISZ MD PC
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 7150 SMOKE RANCH RD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89128-3157
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Country | US
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Telephone | 702-804-1818
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Fax | 702-804-1720
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Provider Business Mailing Address
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Address Line | PO BOX 371323
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City | LAS VEGAS
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State | NV
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Zip | 89137-1323
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Country | US
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Telephone | 702-804-1818
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Fax | 702-804-1720
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICOLAE WEISZ
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Credential | MD
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Telephone | 702-804-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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