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General NPI Number Information
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NPI Number | 1366454720
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Entity Type | Individual
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Provider Name | SANDRA L WEAVER RN, LCNS
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 07/31/2015
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Provider Practice Location Address
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Address Line | 110 NEWMAN AVE
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City | HARRISONBURG
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State | VA
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Zip | 22801-4004
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Country | US
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Telephone | 540-434-2800
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Fax | 540-434-2883
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Provider Business Mailing Address
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Address Line | 110 NEWMAN AVENUE
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City | HARRISONBURG
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State | VA
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Zip | 22801
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Country | US
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Telephone | 540-434-2800
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Fax | 540-434-2883
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 0001092919
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 0015000490
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License Number State | VA
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