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General NPI Number Information
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NPI Number | 1316987076
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Entity Type | Individual
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Provider Name | DEBRA WEINSTEIN MD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 6056 BOYNTON BEACH BLVD # 145
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3584
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Country | US
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Telephone | 561-737-9227
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Fax | 561-737-8581
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Provider Business Mailing Address
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Address Line | 5700 LAKE WORTH RD #204
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City | LAKE WORTH
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State | FL
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Zip | 33463
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Country | US
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Telephone | 561-968-7968
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Fax | 561-964-4603
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME59099
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License Number State | FL
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