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General NPI Number Information
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NPI Number | 1235376575
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Entity Type | Organization
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Legal Business Name | MARK B WEINSTEIN, M.D.,P.A.
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | 7950 FLOYD CURL DRIVE SUITE 909
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3972
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Country | US
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Telephone | 210-614-3575
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Fax | 210-692-7116
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Provider Business Mailing Address
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Address Line | 7950 FLOYD CURL DRIVE SUITE 909
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3972
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Country | US
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Telephone | 210-614-3575
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Fax | 210-692-7116
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Authorized Official
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Title or Position | BUSINESS OFFICE
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Name | MRS. CONNIE C GIBSON
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Credential |
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Telephone | 210-614-3575
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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 | E1174
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License Number State | TX
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