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General NPI Number Information
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NPI Number | 1639421266
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Entity Type | Organization
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Legal Business Name | WEINERMAN PAIN & WELLNESS
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 1617 JOHN F KENNEDY BLVD STE 1100
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City | PHILADELPHIA
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State | PA
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Zip | 19103-1826
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Country | US
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Telephone | 215-988-9503
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Fax | 215-988-9533
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Provider Business Mailing Address
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Address Line | 1617 JOHN F KENNEDY BLVD STE 1100
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City | PHILADELPHIA
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State | PA
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Zip | 19103-1826
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Country | US
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Telephone | 215-988-9533
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Fax | 215-988-9533
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | MISS ASHLEY MESSING
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Credential |
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Telephone | 215-988-9503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | DC005975L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS004236L
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License Number State | PA
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