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General NPI Number Information
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NPI Number | 1487012902
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Entity Type | Organization
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Legal Business Name | ADAM WEISS DDS PC
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 05/09/2016
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Provider Practice Location Address
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Address Line | 37 PROSPECT ST
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City | AMSTERDAM
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State | NY
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Zip | 12010-3614
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Country | US
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Telephone | 518-514-3983
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 POTTER RD
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City | AMSTERDAM
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State | NY
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Zip | 12010-8522
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Country | US
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Telephone | 631-312-1806
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Fax | 518-203-5108
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADAM WEISS
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Credential | DDS
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Telephone | 518-514-3983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 54496
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License Number State | NY
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