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General NPI Number Information
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NPI Number | 1477936854
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Entity Type | Organization
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Legal Business Name | KAREN D WEISS MD MPH
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Dates
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Enumeration Date | 07/03/2015
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Last Update Date | 07/03/2015
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Provider Practice Location Address
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Address Line | 1700 ROCKVILLE PIKE
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City | ROCKVILLE
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State | MD
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Zip | 20852-1631
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Country | US
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Telephone | 240-271-0350
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Fax |
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Provider Business Mailing Address
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Address Line | 1224 TAYLOR AVE
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City | HALETHORPE
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State | MD
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Zip | 21227-1423
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Country | US
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Telephone | 240-271-0350
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KAREN D WEISS
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Credential | MD
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Telephone | 240-271-0350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 34387
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License Number State | MD
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