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General NPI Number Information
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NPI Number | 1366002511
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Entity Type | Individual
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Provider Name | BARRETT WEISS MD
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Gender | Male
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 601 ELMWOOD AVE BOX 664
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City | ROCHESTER
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State | NY
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Zip | 14642-2921
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Country | US
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Telephone | 585-341-9472
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Fax |
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Provider Business Mailing Address
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Address Line | 102 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-2921
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Country | US
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Telephone | 214-820-9300
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | MD210011828
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 330762
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License Number State | NY
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