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General NPI Number Information
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NPI Number | 1598361222
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Entity Type | Organization
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Legal Business Name | DR. LEIF WEIG
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 4800 LINTON BLVD STE E314
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City | DELRAY BEACH
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State | FL
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Zip | 33445-6500
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Country | US
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Telephone | 954-614-3414
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 273543
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City | BOCA RATON
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State | FL
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Zip | 33427-3543
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Country | US
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Telephone | 954-614-3414
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. LEIF WEIG
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Credential |
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Telephone | 954-614-3414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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