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General NPI Number Information
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NPI Number | 1588644363
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Entity Type | Individual
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Provider Name | GEORGANN VALERIE WEISSMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4847 FRED GLADSTONE DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-8023
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Country | US
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Telephone | 561-687-5768
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Fax | 561-687-0885
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Provider Business Mailing Address
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Address Line | 937 DICKENS PL
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-1865
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Country | US
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Telephone | 561-753-9014
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Fax | 561-687-0885
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP3353672
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License Number State | FL
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