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General NPI Number Information
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NPI Number | 1417324799
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Entity Type | Individual
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Provider Name | ROBERT WEINMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2015
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Last Update Date | 08/21/2015
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Provider Practice Location Address
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Address Line | 171 SLATER ST
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City | OTTAWA
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State | ON
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Zip | K1A0K9
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Country | CA
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Telephone | 613-948-4714
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Fax |
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Provider Business Mailing Address
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Address Line | 400 STEWART STREET APT 1603
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City | OTTAWA
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State | ONTARIO
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Zip | K1N6L2
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Country | CA
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Telephone | 613-884-7320
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 49976
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License Number State | CA
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