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General NPI Number Information
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NPI Number | 1679096812
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Entity Type | Individual
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Provider Name | ZACHERY R WEINBERG OD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 512 WASHINGTON ST
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City | CHAGRIN FALLS
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State | OH
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Zip | 44022-4453
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Country | US
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Telephone | 440-247-4920
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Fax |
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Provider Business Mailing Address
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Address Line | 28600 ORANGE MEADOW LN
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City | CHAGRIN FALLS
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State | OH
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Zip | 44022-1452
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Country | US
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Telephone | 502-523-4513
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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 | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 2080DT
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2080DT
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License Number State | KY
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