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General NPI Number Information
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NPI Number | 1528048303
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Entity Type | Individual
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Provider Name | PATRICIA B WEBER MD
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Gender | Female
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2021 N 12TH ST
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2980
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Country | US
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Telephone | 888-256-0323
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2131
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City | GRAND JUNCTION
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State | CO
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Zip | 81502-2131
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Country | US
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Telephone | 888-256-0323
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 34998
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License Number State | CO
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