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General NPI Number Information
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NPI Number | 1336163658
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Entity Type | Individual
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Provider Name | ROBERT GREGORY WEAVER I MD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 541 SUNSET LN STE 301
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City | CULPEPER
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State | VA
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Zip | 22701
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Country | US
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Telephone | 540-825-4557
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Fax | 540-852-4566
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Provider Business Mailing Address
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Address Line | PO BOX 21975
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City | BELFAST
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State | ME
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Zip | 04915-4116
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Country | US
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Telephone | 540-321-4281
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Fax | 540-321-4282
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 0101056829
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License Number State | VA
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