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General NPI Number Information
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NPI Number | 1386600153
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Entity Type | Individual
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Provider Name | LUNDA E. WEAVER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 300 OAKDALE RD
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City | MARTINSBURG
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State | PA
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Zip | 16662-1246
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Country | US
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Telephone | 814-793-3388
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Fax | 814-793-3388
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | MARTINSBURG
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State | PA
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Zip | 16662-0247
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Country | US
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Telephone | 814-793-3388
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Fax | 814-793-3388
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD027309E
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License Number State | PA
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