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General NPI Number Information
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NPI Number | 1730903600
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Entity Type | Individual
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Provider Name | KRISTIN P WEIR LLC
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Gender | Female
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 8442 MAYFIELD RD STE F
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City | CHESTERLAND
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State | OH
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Zip | 44026-2561
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Country | US
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Telephone | 440-241-7926
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Fax |
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Provider Business Mailing Address
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Address Line | 13798 FOX HILLS DR
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City | NOVELTY
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State | OH
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Zip | 44072-9770
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Country | US
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Telephone | 440-241-7926
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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 | 33.014711
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License Number State | OH
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