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General NPI Number Information
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NPI Number | 1386815710
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Entity Type | Individual
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Provider Name | STACY R WEAVER MAPT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1301 PENN AVE STE 308
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City | DES MOINES
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State | IA
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Zip | 50316-2368
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Country | US
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Telephone | 515-263-5143
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Fax | 515-263-5710
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Provider Business Mailing Address
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Address Line | 1301 PENN AVE STE 308
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City | DES MOINES
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State | IA
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Zip | 50316-2368
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Country | US
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Telephone | 515-263-5143
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Fax | 515-263-5710
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7552
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 082165
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 82165
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License Number State | IA
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