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General NPI Number Information
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NPI Number | 1295063121
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Entity Type | Individual
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Provider Name | STEPHANIE MEI LI WEAVER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/04/2009
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 5819 BURNET RD
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City | AUSTIN
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State | TX
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Zip | 78756-1114
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Country | US
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Telephone | 512-687-2212
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Fax | 512-687-2218
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Provider Business Mailing Address
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Address Line | 1920 E RIVERSIDE DR
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City | AUSTIN
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State | TX
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Zip | 78741-1342
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Country | US
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Telephone | 512-326-5228
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Fax | 512-326-1733
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 46365
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26995
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License Number State | GA
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