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General NPI Number Information
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NPI Number | 1760616676
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Entity Type | Organization
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Legal Business Name | DAVID A WEBER MD PLLC NP
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 607 CLIFTY ST
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City | SOMERSET
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State | KY
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Zip | 42503-1765
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Country | US
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Telephone | 606-676-0206
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Fax | 606-676-0220
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Provider Business Mailing Address
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Address Line | 607 CLIFTY ST
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City | SOMERSET
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State | KY
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Zip | 42503-1765
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Country | US
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Telephone | 606-676-0206
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Fax | 606-676-0220
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID WEBER
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Credential | MD
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Telephone | 606-676-0206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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