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General NPI Number Information
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NPI Number | 1194760983
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Entity Type | Organization
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Legal Business Name | STEVEN R. WEASEN
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 209 FLORAL VALE BLVD
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City | YARDLEY
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State | PA
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Zip | 19067-5524
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Country | US
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Telephone | 215-860-6100
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Fax | 215-860-1996
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Provider Business Mailing Address
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Address Line | 209 FLORAL VALE BLVD
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City | YARDLEY
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State | PA
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Zip | 19067-5524
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Country | US
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Telephone | 215-860-6100
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Fax | 215-860-1996
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. STEVEN R. WEASEN
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Credential | M.D.
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Telephone | 215-860-6100
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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 | MD033733E
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License Number State | PA
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