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General NPI Number Information
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NPI Number | 1578632907
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Entity Type | Organization
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Legal Business Name | DONALD R WEISMAN MD PC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1070 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10128-1000
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Country | US
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Telephone | 212-369-1551
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Fax | 212-289-1117
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Provider Business Mailing Address
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Address Line | 1070 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10128-1000
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Country | US
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Telephone | 212-369-1551
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Fax | 212-289-1117
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONALD RODNEY WEISMAN
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Credential | MD
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Telephone | 212-389-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 79540
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License Number State | NY
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