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General NPI Number Information
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NPI Number | 1659875052
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Entity Type | Individual
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Provider Name | PATRICIA ANNE WEISNER MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 1112 6TH AVE STE 100
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City | TACOMA
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State | WA
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Zip | 98405-4048
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Country | US
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Telephone | 253-792-6630
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 6TH AVE STE 100
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City | TACOMA
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State | WA
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Zip | 98405-4048
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Country | US
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Telephone |
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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 | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number | ML60866323
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | MD.MD.61560365
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License Number State | WA
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