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General NPI Number Information
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NPI Number | 1487773701
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Entity Type | Organization
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Legal Business Name | DARIN L. WEYHRICH, M.D.,P.A.
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 222 N 2ND ST STE 206
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City | BOISE
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State | ID
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Zip | 83702-6130
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Country | US
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Telephone | 208-342-2615
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Fax | 208-342-1661
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Provider Business Mailing Address
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Address Line | 222 N 2ND ST STE 206
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City | BOISE
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State | ID
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Zip | 83702-6130
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Country | US
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Telephone | 208-342-2615
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Fax | 208-342-1661
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Authorized Official
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Title or Position | OWNER
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Name | DARIN LEE WEYHRICH
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Credential | M.D.
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Telephone | 208-642-2516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | M8503
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License Number State | ID
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