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General NPI Number Information
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NPI Number | 1194735183
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Entity Type | Individual
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Provider Name | ALAN JOHN WEISS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 216 CRAIN HWY N SUITE # 101
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City | GLEN BURNIE
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State | MD
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Zip | 21061-3079
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Country | US
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Telephone | 410-761-1743
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1303
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City | SEVERNA PARK
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State | MD
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Zip | 21146-8303
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Country | US
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Telephone | 410-761-1743
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | D30947
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License Number State | MD
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