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General NPI Number Information
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NPI Number | 1760693733
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Entity Type | Organization
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Legal Business Name | PETER B WEBER MD INC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 2100 WEBSTER ST 115
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2373
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Country | US
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Telephone | 415-885-8628
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Fax | 415-923-3325
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Provider Business Mailing Address
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Address Line | 2100 WEBSTER ST 115
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2373
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Country | US
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Telephone | 415-885-8628
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Fax | 415-923-3325
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER B. WEBER
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Credential | M. D.
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Telephone | 415-885-8628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | A53445
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License Number State | CA
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