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General NPI Number Information
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NPI Number | 1669410965
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Entity Type | Individual
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Provider Name | EDWARD C WEISS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1600 CLIFTON ROAD NE, MAILSTOP V24-5 CDC/NCSTLTPHIW/DWD/ELWB/FRST
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City | ATLANTA
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State | GA
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Zip | 30329-4018
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Country | US
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Telephone | 770-488-2624
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Fax |
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Provider Business Mailing Address
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Address Line | 710 TROWGATE CT
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-6888
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Country | US
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Telephone | 404-964-4223
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 57514
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 57514
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License Number State | GA
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