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General NPI Number Information
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NPI Number | 1417860800
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Entity Type | Individual
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Provider Name | ERIC RYAN WESTON RN
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Gender | Male
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 1994 STATE ROUTE 2192
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City | BOAZ
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State | KY
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Zip | 42027-9301
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Country | US
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Telephone | 270-367-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1994 STATE ROUTE 2192
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City | BOAZ
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State | KY
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Zip | 42027-9301
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Country | US
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Telephone | 270-367-2273
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1180924
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License Number State | KY
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