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General NPI Number Information
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NPI Number | 1306936778
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Entity Type | Individual
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Provider Name | LEE A WEINER D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 9A DAVISON AVE.
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City | OCEANSIDE
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State | NY
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Zip | 11572
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Country | US
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Telephone | 516-255-0272
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Fax | 516-255-9130
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Provider Business Mailing Address
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Address Line | 3218 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-4110
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Country | US
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Telephone | 516-255-2720
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Fax | 516-255-9130
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | X009660
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License Number State | NY
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