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General NPI Number Information
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NPI Number | 1346651429
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Entity Type | Organization
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Legal Business Name | A BETTER WEIGH, M.D.
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 1665 DOMINICAN WAY SUITE 222
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1580
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Country | US
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Telephone | 831-465-0586
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Fax | 831-476-5292
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Provider Business Mailing Address
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Address Line | 1665 DOMINICAN WAY SUITE 222
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1580
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Country | US
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Telephone | 831-465-0586
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Fax | 831-476-5292
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. IRENE TURNER
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Credential |
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Telephone | 831-465-0586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G29846
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License Number State | CA
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