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General NPI Number Information
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NPI Number | 1528678877
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Entity Type | Individual
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Provider Name | THOMAS GERALD WEISS MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2020
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 967 NORTH BROADWAY MEDICAL EDUCATION DEPT.
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City | YONKERS
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State | NY
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Zip | 10701-1301
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Country | US
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Telephone | 914-798-8971
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Fax |
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Provider Business Mailing Address
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Address Line | 4894 APPLE CT
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City | FREELAND
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State | MI
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Zip | 48623-8800
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Country | US
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Telephone | 989-737-8153
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301511213
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License Number State | MI
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