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General NPI Number Information
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NPI Number | 1477875722
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Entity Type | Organization
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Legal Business Name | WEISS & ASSOCIATES
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Dates
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Enumeration Date | 02/26/2010
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Last Update Date | 02/26/2010
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Provider Practice Location Address
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Address Line | 1075 HADLEY AVE N SUITE 106
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City | OAKDALE
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State | MN
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Zip | 55128-5951
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Country | US
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Telephone | 651-235-7324
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Fax | 651-714-9632
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Provider Business Mailing Address
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Address Line | 1075 HADLEY AVE N SUITE 106
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City | OAKDALE
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State | MN
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Zip | 55128-5951
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Country | US
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Telephone | 651-235-7324
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Fax | 651-714-9632
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. DEBRA RENE WEISS
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Credential | LAC.,
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Telephone | 651-235-7324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1195
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License Number State | MN
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