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General NPI Number Information
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NPI Number | 1225331085
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Entity Type | Individual
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Provider Name | DANIEL JAY WEBER RPH
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Gender | Male
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Dates
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Enumeration Date | 12/15/2010
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Last Update Date | 12/15/2010
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Provider Practice Location Address
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Address Line | 1618 MAIN ST
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City | CLIFTON FORGE
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State | VA
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Zip | 24422-1904
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Country | US
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Telephone | 540-863-0074
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Fax |
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Provider Business Mailing Address
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Address Line | 100 STONEWALL DR
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City | DALEVILLE
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State | VA
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Zip | 24083-3183
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Country | US
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Telephone | 540-966-6469
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202206342
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 009595
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License Number State | AZ
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