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General NPI Number Information
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NPI Number | 1447220645
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Entity Type | Individual
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Provider Name | GEORGIA KIM WEEBER D.P.M
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Gender | Female
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 07/01/2014
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Provider Practice Location Address
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Address Line | 329 CONWAY ST GREENFIELD HEALTH CENTER
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City | GREENFIELD
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State | MA
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Zip | 01301-1521
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Country | US
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Telephone | 413-774-6301
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Fax | 413-772-3314
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Provider Business Mailing Address
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Address Line | 329 CONWAY ST GREENFIELD HEALTH CENTER
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City | GREENFIELD
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State | MA
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Zip | 01301-1521
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Country | US
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Telephone | 413-774-6301
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Fax | 413-772-3314
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 2163
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 2163
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 2163
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License Number State | MA
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