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General NPI Number Information
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NPI Number | 1528317930
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Entity Type | Organization
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Legal Business Name | JEFFRY ALLAN WEISFELD D.O. P.C.
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 2911 W SIERRA ST
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City | PHOENIX
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State | AZ
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Zip | 85029-4327
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Country | US
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Telephone | 602-942-2041
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Fax | 602-532-7727
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Provider Business Mailing Address
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Address Line | 2911 W SIERRA ST
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City | PHOENIX
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State | AZ
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Zip | 85029-4327
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Country | US
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Telephone | 602-942-2041
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Fax | 602-532-7727
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFRY WEISFELD
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Credential | D.O.
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Telephone | 602-942-2041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 1218
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License Number State | AZ
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