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General NPI Number Information
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NPI Number | 1649627753
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Entity Type | Individual
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Provider Name | JASON WEI
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Gender | Male
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 6821 NW 11TH PLACE
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City | GAINESVILLE
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State | FL
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Zip | 32605
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Country | US
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Telephone | 352-331-3353
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Fax | 352-333-9035
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Provider Business Mailing Address
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Address Line | 11350 MCCORMICK RD. EXECUTIVE PLAZA 1, SUITE 501
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City | HUNT VALLEY
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State | MD
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Zip | 21031
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Country | US
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Telephone | 678-841-7135
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Fax | 678-841-7223
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME1460
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License Number State | FL
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