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General NPI Number Information
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NPI Number | 1396584793
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Entity Type | Individual
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Provider Name | MR. ALTON WEEKES
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Gender | Male
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 158 E 126TH ST APT 522
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City | NEW YORK
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State | NY
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Zip | 10035-1856
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Country | US
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Telephone | 917-709-9915
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Fax |
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Provider Business Mailing Address
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Address Line | 158 E 126TH ST APT 522
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City | NEW YORK
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State | NY
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Zip | 10035-1856
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Country | US
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Telephone | 917-709-9915
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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