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General NPI Number Information
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NPI Number | 1518584051
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Entity Type | Individual
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Provider Name | JOSEPH ALLARD WEAVER DPM
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Gender | Male
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 163 VETERANS DRIVE
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City | WHITE RIVER JUNCTION
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State | VT
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Zip | 05009-4728
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Country | US
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Telephone | 413-478-6320
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Fax |
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Provider Business Mailing Address
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Address Line | 241 OHIO AVE
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-2124
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Country | US
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Telephone | 413-478-6320
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | LPR00220
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License Number State | RI
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