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General NPI Number Information
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NPI Number | 1770407058
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Entity Type | Individual
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Provider Name | DANIEL DENNIS WEBER
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Gender | Male
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 4010 172NS ST NE
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City | ARLINGTON
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State | WA
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Zip | 98223
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Country | US
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Telephone | 360-386-4512
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Fax | 360-659-7399
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Provider Business Mailing Address
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Address Line | 4505 103RD PL NE
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City | MARYSVILLE
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State | WA
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Zip | 98271-8344
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Country | US
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Telephone | 515-450-8476
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | OPTI.D0.70004255
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License Number State | WA
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