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General NPI Number Information
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NPI Number | 1295030724
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Entity Type | Individual
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Provider Name | HEATHER WEBER PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 10/11/2021
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Provider Practice Location Address
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Address Line | 145 INVERNESS DR E STE 100
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5172
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Country | US
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Telephone | 303-697-7463
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Fax | 303-783-1200
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Provider Business Mailing Address
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Address Line | 8101 E LOWRY BLVD STE 120
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City | DENVER
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State | CO
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Zip | 80230-7195
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Country | US
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Telephone | 303-806-1998
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 4514
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4514
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License Number State | CO
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