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General NPI Number Information
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NPI Number | 1215188594
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Entity Type | Organization
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Legal Business Name | WEIS MARKETS INC
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 2525 MEMORIAL HWY
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City | DALLAS
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State | PA
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Zip | 18612-9254
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Country | US
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Telephone | 570-674-1120
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Fax | 570-674-1132
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Provider Business Mailing Address
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Address Line | PO BOX 471
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City | SUNBURY
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State | PA
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Zip | 17801-0471
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Country | US
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Telephone | 570-286-3623
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Fax | 570-988-3774
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Authorized Official
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Title or Position | VP PHCY
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Name | RICHARD W. SEIPP
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Credential | RPH
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Telephone | 570-863-2812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP481875
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License Number State | PA
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