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NPI 1255527115

NPI 1255527115 : ADINA WEIS M.D. : GLENDALE, AZ

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General NPI Number Information
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    NPI Number           |    1255527115
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    Entity Type          |    Individual 
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    Provider Name        |    ADINA WEIS M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/24/2007
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    Last Update Date     |    11/04/2025
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Provider Practice Location Address
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    Address Line         |    5605 W EUGIE AVE STE 110 
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    City                 |    GLENDALE
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    State                |    AZ
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    Zip                  |    85304-1273
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    Country              |    US
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    Telephone            |    623-847-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 280 
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    City                 |    RANCHO MIRAGE
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    State                |    CA
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    Zip                  |    92270-0280
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    Country              |    US
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    Telephone            |    760-340-3911
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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       |    ME144918
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    A132173
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    47785
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    License Number State |    AZ
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