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General NPI Number Information
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NPI Number | 1588847065
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Entity Type | Organization
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Legal Business Name | SAUL WEINGARDEN MD PLLC
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 08/05/2019
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Provider Practice Location Address
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Address Line | 20307 W 12 MILE RD SUITE 104
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City | SOUTHFIELD
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State | MI
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Zip | 48076-5407
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Country | US
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Telephone | 248-353-3388
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Fax | 248-353-0492
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Provider Business Mailing Address
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Address Line | 20307 W 12 MILE RD SUITE 104
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City | SOUTHFIELD
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State | MI
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Zip | 48076-5407
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Country | US
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Telephone | 248-353-3388
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Fax | 248-353-0492
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAUL WEINGARDEN
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Credential | MD
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Telephone | 248-353-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 4301037116
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License Number State | MI
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