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General NPI Number Information
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NPI Number | 1396851846
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Entity Type | Individual
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Provider Name | JANE E WEBER N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 31 LOWER HUDSON AVE
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City | GREEN ISLAND
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State | NY
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Zip | 12183-1014
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Country | US
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Telephone | 518-272-9140
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Fax |
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Provider Business Mailing Address
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Address Line | 53 LIBERTY RD
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City | TROY
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State | NY
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Zip | 12180-9634
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Country | US
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Telephone | 518-235-8302
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 360055
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License Number State | NY
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