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General NPI Number Information
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NPI Number | 1295832723
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Entity Type | Individual
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Provider Name | DAVID C WEISMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 1151 OLD YORK RD # 200
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City | ABINGTON
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State | PA
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Zip | 19001-3816
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Country | US
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Telephone | 215-957-9250
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Fax | 215-957-9254
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Provider Business Mailing Address
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Address Line | 2325 MARYLAND RD SUITE 120
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1749
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Country | US
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Telephone | 215-957-9250
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Fax | 215-957-9254
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | MD428444
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD428444
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License Number State | PA
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