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General NPI Number Information
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NPI Number | 1689989741
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Entity Type | Individual
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Provider Name | BRIAN WEYAND L.M.P.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 1320 S 3RD ST W
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City | MISSOULA
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State | MT
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Zip | 59801-2332
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Country | US
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Telephone | 406-541-9355
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Fax | 406-541-9356
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Provider Business Mailing Address
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Address Line | 525 COTTONWOOD ST APT 1
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City | MISSOULA
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State | MT
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Zip | 59801-2539
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Country | US
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Telephone | 406-829-6300
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA00007859
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License Number State | WA
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