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General NPI Number Information
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NPI Number | 1548550254
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Entity Type | Individual
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Provider Name | SARAH BROWN WEISSBART MD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | 33 RESEARCH WAY
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City | EAST SETAUKET
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State | NY
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Zip | 11733-5109
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Country | US
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Telephone | 631-444-4392
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Fax | 631-444-4328
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Provider Business Mailing Address
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Address Line | 33 RESEARCH WAY
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City | EAST SETAUKET
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State | NY
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Zip | 11733
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Country | US
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Telephone | 631-444-4092
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Fax | 631-444-4328
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD454770
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 270023
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License Number State | NY
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