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General NPI Number Information
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NPI Number | 1346244886
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Entity Type | Individual
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Provider Name | ROBERT B WEINSTEIN DPM
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 12/03/2015
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Provider Practice Location Address
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Address Line | 265 N JEFF DAVIS DR
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-1625
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Country | US
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Telephone | 770-460-7600
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Fax | 770-719-0853
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Provider Business Mailing Address
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Address Line | 1975 HWY 54 W. STE 205
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-4794
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Country | US
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Telephone | 678-561-9000
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Fax | 770-487-1232
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 000974
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License Number State | GA
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