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General NPI Number Information
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NPI Number | 1336229137
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Entity Type | Individual
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Provider Name | DOUGLAS BOYD WEBER DDS
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 41307 12TH ST W STE 100
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City | PALMDALE
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State | CA
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Zip | 93551-1454
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Country | US
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Telephone | 661-267-2021
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 592
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City | LANCASTER
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State | CA
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Zip | 93584-0592
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Country | US
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Telephone | 661-945-3661
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Fax | 661-942-0155
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 37951
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License Number State | CA
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