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General NPI Number Information
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NPI Number | 1629127337
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Entity Type | Organization
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Legal Business Name | RICHARD H. WEINER, DPM, P.A.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4523 W LOVERS LN
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City | DALLAS
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State | TX
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Zip | 75209-3131
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Country | US
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Telephone | 214-351-2180
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Fax | 214-351-3886
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Provider Business Mailing Address
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Address Line | 4523 W LOVERS LN
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City | DALLAS
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State | TX
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Zip | 75209-3131
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Country | US
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Telephone | 214-351-2180
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Fax | 214-351-3886
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DR. RICHARD HENRY WEINER
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Credential | D.P.M.
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Telephone | 214-351-2180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 520
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License Number State | TX
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