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General NPI Number Information
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NPI Number | 1366328981
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Entity Type | Individual
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Provider Name | BRYAN LEE WEAVER PHARMD, MBA, RPH
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Gender | Male
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 320 MARKET DR
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City | ELYRIA
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State | OH
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Zip | 44035-2887
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Country | US
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Telephone | 440-324-1742
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Fax |
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Provider Business Mailing Address
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Address Line | 106 FERRIS STATE CT
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City | ELYRIA
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State | OH
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Zip | 44035-8842
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Country | US
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Telephone | 440-731-2673
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03445840
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License Number State | OH
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