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General NPI Number Information
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NPI Number | 1336528330
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Entity Type | Individual
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Provider Name | EMILY WEBER MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 2601 OCEAN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11235-7745
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Country | US
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Telephone | 187-616-4344
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Fax |
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Provider Business Mailing Address
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Address Line | 101 BEDFORD AVE APT A607
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City | BROOKLYN
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State | NY
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Zip | 11211-3235
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Country | US
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Telephone | 914-420-3510
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Fax |
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 294900
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA12363900
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License Number State | NJ
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