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General NPI Number Information
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NPI Number | 1205497815
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Entity Type | Individual
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Provider Name | JARED THOMAS WEINAND MD
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Gender | Male
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 222 N 7TH ST
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City | BISMARCK
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State | ND
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Zip | 58501-4436
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Country | US
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Telephone | 701-323-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5074
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City | SIOUX FALLS
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State | SD
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Zip | 57117-5074
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Country | US
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Telephone | 701-323-6000
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2020-03260
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 2020-03260
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 256282
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 20353
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License Number State | ND
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