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General NPI Number Information
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NPI Number | 1396025888
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Entity Type | Individual
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Provider Name | MATTHEW C WEBER
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Gender | Male
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Dates
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Enumeration Date | 08/28/2011
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Last Update Date | 08/28/2011
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Provider Practice Location Address
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Address Line | 2215 N ST RD 3 BYP
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City | GREENSBURG
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State | IN
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Zip | 47240-9559
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Country | US
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Telephone | 812-662-0936
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Fax |
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Provider Business Mailing Address
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Address Line | 606 N DAVIDSON ST
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City | GREENSBURG
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State | IN
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Zip | 47240-2513
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26022152A
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License Number State | IN
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