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General NPI Number Information
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NPI Number | 1376813121
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Entity Type | Organization
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Legal Business Name | WEINBERG GASTROINTESTINAL ASSOCIATES, PLLC
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 4915 E. BASELINE RD. #126
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City | GILBERT
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State | AZ
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Zip | 85234
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Country | US
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Telephone | 480-745-3690
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Fax | 480-345-3697
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Provider Business Mailing Address
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Address Line | 10401 E MCDOWELL MOUNTAIN RANCH RD #2-352
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-8698
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Country | US
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Telephone | 480-745-3690
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Fax | 480-745-3697
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Authorized Official
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Title or Position | PROPRIETOR
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Name | ANDREW WEINBERG
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Credential | MD
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Telephone | 480-745-3690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4699
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License Number State | AZ
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