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General NPI Number Information
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NPI Number | 1649443318
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Entity Type | Organization
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Legal Business Name | NEIL M. WEISS M.D.
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 3545 S TAMARAC DR SUITE 370
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City | DENVER
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State | CO
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Zip | 80237-1418
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Country | US
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Telephone | 303-694-0507
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Fax | 303-694-1274
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Provider Business Mailing Address
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Address Line | 3545 S TAMARAC DR SUITE 370
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City | DENVER
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State | CO
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Zip | 80237-1418
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Country | US
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Telephone | 303-694-0507
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Fax | 303-694-1274
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Authorized Official
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Title or Position | BILLING REPRESENTATIVE
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Name | MS. LAURA POSEY
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Credential |
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Telephone | 303-858-1703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 16032
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License Number State | CO
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