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General NPI Number Information
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NPI Number | 1649151838
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Entity Type | Individual
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Provider Name | DR. TIMOTHY WEISS
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Gender | Male
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 12981 PERRIS BLVD STE 106
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City | MORENO VALLEY
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State | CA
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Zip | 92553-4108
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Country | US
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Telephone | 951-485-6300
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Fax | 951-485-6322
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Provider Business Mailing Address
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Address Line | 16634 BENJAMIN CIR
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-1245
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Country | US
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Telephone | 714-797-2582
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC37434
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License Number State | CA
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