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General NPI Number Information
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NPI Number | 1376747089
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Entity Type | Individual
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Provider Name | ANN WEISS LMT
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 384 E IRVING PARK RD
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City | ROSELLE
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State | IL
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Zip | 60172-2007
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Country | US
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Telephone | 630-774-2846
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Fax |
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Provider Business Mailing Address
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Address Line | 101 TOWN ACRES LN
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City | ROSELLE
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State | IL
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Zip | 60172-1520
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Country | US
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Telephone | 630-582-4296
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | IL
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