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General NPI Number Information
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NPI Number | 1215368287
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Entity Type | Organization
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Legal Business Name | DARYL B. WEVER CORP
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Dates
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Enumeration Date | 12/02/2013
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 455 S ROSELLE RD STE 101
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City | SCHAUMBURG
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State | IL
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Zip | 60193
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Country | US
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Telephone | 231-690-6828
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Fax |
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Provider Business Mailing Address
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Address Line | 455 S ROSELLE RD STE 101
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City | SCHAUMBURG
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State | IL
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Zip | 60193-2973
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Country | US
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Telephone | 231-690-6828
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Fax |
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Authorized Official
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Title or Position | FOOT AND ANKLE SPECIALIST
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Name | DR. DARYL B WEVER
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Credential | DPM
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Telephone | 231-690-6828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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