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General NPI Number Information
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NPI Number | 1619963568
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Entity Type | Individual
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Provider Name | DAVID W WEISS M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 2367 SEMINOLE RD
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City | ATLANTIC BEACH
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State | FL
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Zip | 32233-5971
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Country | US
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Telephone | 904-465-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 2367 SEMINOLE ROAD
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City | ATLANTIC BEACH
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State | FL
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Zip | 32233
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Country | US
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Telephone | 904-465-2011
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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 | 46322
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License Number State | FL
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