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General NPI Number Information
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NPI Number | 1265571012
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Entity Type | Individual
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Provider Name | DENNIS V WEISS M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1530 W THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85015-6101
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Country | US
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Telephone | 602-340-9755
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Fax | 602-253-7940
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Provider Business Mailing Address
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Address Line | 1530 W THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85015-6101
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Country | US
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Telephone | 602-340-9755
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Fax | 602-253-7940
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 15479
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License Number State | AZ
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