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General NPI Number Information
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NPI Number | 1588852834
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Entity Type | Organization
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Legal Business Name | MARC WEISSMAN DC PLC
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 10135 E VIA LINDA STE 115
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5312
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Country | US
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Telephone | 480-661-7000
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Fax | 480-661-0220
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Provider Business Mailing Address
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Address Line | 10135 E VIA LINDA STE 115
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5312
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Country | US
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Telephone | 480-661-7000
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Fax | 480-661-0220
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARC E WEISSMAN
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Credential | DC
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Telephone | 480-661-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5868
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License Number State | AZ
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