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General NPI Number Information
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NPI Number | 1518958024
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Entity Type | Individual
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Provider Name | ROBERT B WEITZMAN MD
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Gender | Male
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 234 RUSSELL ST SUITE 7
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City | HADLEY
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State | MA
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Zip | 01035-3534
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Country | US
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Telephone | 413-586-6020
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Fax | 413-584-0286
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Provider Business Mailing Address
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Address Line | PO BOX 5001
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City | NORTHAMPTON
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State | MA
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Zip | 01061-5001
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Country | US
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Telephone | 413-582-2022
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Fax | 413-582-2530
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 60098
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License Number State | MA
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