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General NPI Number Information
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NPI Number | 1427485267
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Entity Type | Organization
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Legal Business Name | ROBERT JAMES WEBER DDS,LTD
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Dates
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Enumeration Date | 10/10/2013
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Last Update Date | 10/10/2013
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Provider Practice Location Address
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Address Line | 210 W WILLOW AVE
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City | WHEATON
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State | IL
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Zip | 60187-5239
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Country | US
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Telephone | 630-665-5552
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Fax | 630-665-0701
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Provider Business Mailing Address
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Address Line | 210 W WILLOW AVE
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City | WHEATON
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State | IL
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Zip | 60187-5239
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Country | US
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Telephone | 630-665-5552
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Fax | 630-665-0701
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. ROBERET J WEBER
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Credential | DDS
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Telephone | 630-665-5552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 019016684
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License Number State | IL
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