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General NPI Number Information
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NPI Number | 1629076021
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Entity Type | Individual
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Provider Name | DAVID A WEIK DPM
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Gender | Male
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Dates
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Enumeration Date | 07/09/2005
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 5400 EXECUTIVE CENTRE PKWY
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City | SAINT PETERS
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State | MO
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Zip | 63376-2594
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Country | US
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Telephone | 314-882-6815
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Fax | 636-333-4510
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Provider Business Mailing Address
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Address Line | 419 WEBSTER FOREST DR
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City | SAINT LOUIS
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State | MO
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Zip | 63119-3937
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Country | US
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Telephone | 314-882-6815
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Fax | 314-963-1495
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016005256
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 2008005998
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO3090
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License Number State | FL
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