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General NPI Number Information
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NPI Number | 1427260637
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Entity Type | Organization
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Legal Business Name | G THOMAS WEIR JR DDS PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | ONE W WETMORE #101
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City | TUCSON
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State | AZ
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Zip | 85705
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Country | US
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Telephone | 520-887-3033
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Fax | 520-696-3365
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Provider Business Mailing Address
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Address Line | ONE W WETMORE #101
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City | TUCSON
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State | AZ
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Zip | 85705
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Country | US
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Telephone | 520-887-3033
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Fax | 520-696-3365
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Authorized Official
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Title or Position | PRESIDENT
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Name | GORDON THOMAS WEIRD JR.
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Credential | DDS
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Telephone | 520-887-3033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D1823
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License Number State | AZ
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