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General NPI Number Information
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NPI Number | 1710974944
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Entity Type | Individual
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Provider Name | DAVE DREW WEEMS DO
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Gender | Male
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 524 W SAGAMORE AVE OFC
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City | CLEWISTON
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State | FL
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Zip | 33440-3514
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Country | US
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Telephone | 863-983-3434
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Fax |
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Provider Business Mailing Address
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Address Line | 132 RIDGE ROCK DR
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City | RUSSELLVILLE
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State | AR
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Zip | 72802-2226
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Country | US
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Telephone | 417-761-9659
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | OS21357
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 114747
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | E-5759
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E5759
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License Number State | AR
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