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General NPI Number Information
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NPI Number | 1609049071
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Entity Type | Individual
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Provider Name | NICHOLAS TSVI WEISS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 07/01/2019
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Provider Practice Location Address
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Address Line | 2719 E MADISON ST STE 300
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City | SEATTLE
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State | WA
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Zip | 98112-4752
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Country | US
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Telephone | 206-747-0724
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Fax |
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Provider Business Mailing Address
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Address Line | 2719 E MADISON ST STE 300
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City | SEATTLE
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State | WA
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Zip | 98112-4752
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Country | US
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Telephone | 206-747-0724
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Fax | 844-857-3175
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A80148
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A80148
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD60229798
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD60229798
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License Number State | WA
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