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General NPI Number Information
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NPI Number | 1538150503
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Entity Type | Individual
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Provider Name | ROBERT DANIEL WEISS M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 02/13/2015
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Provider Practice Location Address
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Address Line | 10 WAYMAN LN
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City | BAR HARBOR
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State | ME
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Zip | 04609-1625
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Country | US
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Telephone | 207-288-5081
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Fax | 207-288-8449
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Provider Business Mailing Address
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Address Line | PO BOX 8 10 WAYMAN LANE
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City | BAR HARBOR
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State | ME
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Zip | 04609-0008
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Country | US
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Telephone | 207-288-5081
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Fax | 207-288-8449
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 013771
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 013771
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 013771
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License Number State | ME
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