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General NPI Number Information
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NPI Number | 1639370927
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Entity Type | Individual
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Provider Name | MICHAEL A WEISS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CASE WESTERN RESERVE UNIV. 10900 EUCLID AVENUE
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-368-5991
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Fax |
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Provider Business Mailing Address
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Address Line | 70 WOODBURN DR
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City | MORELAND HILLS
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State | OH
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Zip | 44022-6868
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Country | US
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Telephone | 216-368-5991
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 60042
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License Number State | MA
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