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General NPI Number Information
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NPI Number | 1619921574
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Entity Type | Individual
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Provider Name | STUART WEISMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 10511 GOLF COURSE RD NW STE 204
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-5917
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Country | US
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Telephone | 505-727-7833
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Fax | 505-727-9590
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Provider Business Mailing Address
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Address Line | 515 SOUTH DR SUITE 12
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4204
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Country | US
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Telephone | 650-962-1100
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Fax | 650-887-3380
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 01095561A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | G57035
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License Number State | CA
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