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General NPI Number Information
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NPI Number | 1699854786
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Entity Type | Organization
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Legal Business Name | WEINER PODIATRY A-PC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 11/30/2017
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Provider Practice Location Address
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Address Line | 9260 W SUNSET RD
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City | LAS VEGAS
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State | NV
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Zip | 89148-4858
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Country | US
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Telephone | 702-389-5360
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Fax | 702-829-8420
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Provider Business Mailing Address
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Address Line | 2410 FIRE MESA ST SUITE 160
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City | LAS VEGAS
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State | NV
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Zip | 89128-9016
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Country | US
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Telephone | 702-518-1534
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Fax | 702-931-3944
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Authorized Official
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Title or Position | PERSONAL ASSISTANT
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Name | GABRIELA JUDITH BARRIOS
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Credential |
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Telephone | 702-539-7708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | NV
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