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General NPI Number Information
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NPI Number | 1417127911
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Entity Type | Organization
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Legal Business Name | STEPHEN WEINBERG, MDPA
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 05/07/2012
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Provider Practice Location Address
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Address Line | 3300 COLORADO BLVD
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City | DENTON
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State | TX
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Zip | 76210-6864
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Country | US
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Telephone | 940-566-2440
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Fax | 940-566-0180
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Provider Business Mailing Address
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Address Line | 3300 COLORADO BLVD
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City | DENTON
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State | TX
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Zip | 76210-6864
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Country | US
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Telephone | 940-566-2440
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Fax | 940-566-0180
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN A. WEINBERG
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Credential | M.D.
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Telephone | 940-566-2440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G6421
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License Number State | TX
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