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General NPI Number Information
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NPI Number | 1619401601
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Entity Type | Individual
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Provider Name | JESSIKA D. WEBER D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 701 S ZARZAMORA ST
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City | SAN ANTONIO
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State | TX
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Zip | 78207-5209
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Country | US
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Telephone | 210-358-7551
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Fax |
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Provider Business Mailing Address
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Address Line | 701 S ZARZAMORA ST
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City | SAN ANTONIO
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State | TX
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Zip | 78207-5209
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Country | US
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Telephone | 210-358-7551
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | W1016
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | W1016
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License Number State | TX
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