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General NPI Number Information
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NPI Number | 1477602969
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Entity Type | Organization
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Legal Business Name | DAN E. WEITZENKORN
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 05/18/2011
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Provider Practice Location Address
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Address Line | 2520 GRAND AVE STE 112
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4195
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Country | US
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Telephone | 970-945-5444
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Fax | 970-945-6070
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Provider Business Mailing Address
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Address Line | 2520 GRAND AVE STE 112
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4195
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Country | US
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Telephone | 970-945-5444
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Fax | 970-945-6070
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAN E. WEITZENKORN
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Credential | M.D.
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Telephone | 970-945-5444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 27465
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License Number State | CO
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