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General NPI Number Information
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NPI Number | 1609843697
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Entity Type | Individual
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Provider Name | DENTON DEAN WEISS MD
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 272 BENDIX RD SUITE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1367
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Country | US
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Telephone | 757-490-7545
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Fax | 757-490-7549
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Provider Business Mailing Address
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Address Line | 272 BENDIX RD SUITE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1367
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Country | US
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Telephone | 757-490-7545
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Fax | 757-490-7549
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | 0101226095
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 0101226095
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License Number State | VA
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