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General NPI Number Information
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NPI Number | 1437425261
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Entity Type | Individual
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Provider Name | TAMMY JEAN WEIS PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1095 MILLION DOLLAR HWY
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City | SAINT MARYS
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State | PA
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Zip | 15857-2743
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Country | US
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Telephone | 814-593-1215
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Fax | 814-253-5843
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Provider Business Mailing Address
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Address Line | 1095 MILLION DOLLAR HWY
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City | SAINT MARYS
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State | PA
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Zip | 15857-2743
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Country | US
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Telephone | 814-593-1215
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Fax | 814-253-5843
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2000008978
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | PA
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