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General NPI Number Information
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NPI Number | 1770162901
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Entity Type | Individual
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Provider Name | ALLISON BETH WEINBERG
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Gender | Female
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 8746 LAKE WORTH RD UNIT 200
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City | LAKE WORTH
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State | FL
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Zip | 33467-2430
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Country | US
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Telephone | 732-832-6741
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 AUDACE AVE APT 414
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-3384
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Country | US
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Telephone | 732-832-6741
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN26667
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License Number State | FL
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