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General NPI Number Information
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NPI Number | 1285998252
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Entity Type | Individual
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Provider Name | DON CLAIR WEIR III MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 06/25/2012
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 1715 DEER TRACKS TRL SUITE, 260
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City | SAINT LOUIS
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State | MO
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Zip | 63131-1839
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Country | US
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Telephone | 314-495-0302
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Fax |
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Provider Business Mailing Address
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Address Line | 1715 DEER TRACKS TRL SUITE, 260
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City | SAINT LOUIS
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State | MO
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Zip | 63131-1839
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Country | US
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Telephone | 314-495-0302
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2013029339
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License Number State | MO
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