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General NPI Number Information
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NPI Number | 1265437040
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Entity Type | Individual
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Provider Name | GILBERT SETH WEINER D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 10/12/2017
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Provider Practice Location Address
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Address Line | 653 CALLE HIPODROMO SUITE #101
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City | SANTURCE
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State | PR
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Zip | 00907-3467
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Country | US
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Telephone | 787-783-3253
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Fax |
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Provider Business Mailing Address
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Address Line | 456B CENTRE ST
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City | JAMAICA PLAIN
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State | MA
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Zip | 02130-1884
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Country | US
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Telephone | 787-783-3253
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 242
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3146
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License Number State | MA
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