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NPI 1730236647

NPI 1730236647 : KAREN LEE WEISS M.A. : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1730236647
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN LEE WEISS M.A.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/04/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    7300 WYNDHAM DR 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95823-4913
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    Country              |    US
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    Telephone            |    916-525-6293
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    820 HARVEY WAY 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95831-4729
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    Country              |    US
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    Telephone            |    916-424-3122
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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        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    AU 2146
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    License Number State |    CA
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