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General NPI Number Information
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NPI Number | 1689177800
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Entity Type | Individual
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Provider Name | DANIELLE WEITZER
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Gender | Female
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 358 5TH AVE RM 1003
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City | NEW YORK
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State | NY
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Zip | 10001-0534
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Country | US
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Telephone | 212-725-0192
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Fax |
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Provider Business Mailing Address
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Address Line | 2250 CHAPEL AVE W
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City | CHERRY HILL
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State | NJ
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Zip | 08002-2051
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 24125
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MB10673000
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License Number State | NJ
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