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General NPI Number Information
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NPI Number | 1376504670
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Entity Type | Individual
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Provider Name | KENNETH HOOPER WEISIGER MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 14062 DENVER WEST PKWY BLDG 52 STE 150
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City | LAKEWOOD
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State | CO
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Zip | 80401-3187
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Country | US
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Telephone | 719-457-6200
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Fax | 303-825-7927
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Provider Business Mailing Address
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Address Line | 14062 DENVER WEST PKWY BLDG 52 STE 150
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City | LAKEWOOD
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State | CO
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Zip | 80401-3187
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Country | US
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Telephone | 719-457-6200
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Fax | 303-825-7927
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 22327
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | DR.0022327
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 22327
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License Number State | CO
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