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General NPI Number Information
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NPI Number | 1326487794
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Entity Type | Individual
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Provider Name | SPENCER R. WESTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 9499 W CHARLESTON BLVD STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89117-7147
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Country | US
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Telephone | 702-228-5477
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Fax | 702-255-7981
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Provider Business Mailing Address
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Address Line | 6355 S BUFFALO DR FL 3
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City | LAS VEGAS
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State | NV
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Zip | 89113-2133
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Country | US
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Telephone | 702-216-3346
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Fax | 702-671-6883
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26501
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10314A
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 10314A
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MRM-1347
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 10314A
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License Number State | WY
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