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General NPI Number Information
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NPI Number | 1780153569
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Entity Type | Individual
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Provider Name | TRISTAN PAUL WEBER CNP
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Gender | Male
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Dates
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Enumeration Date | 11/21/2018
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 10524 EUCLID AVE STE 13
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City | CLEVELAND
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State | OH
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Zip | 44106-2205
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Country | US
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Telephone | 216-844-5107
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Fax | 216-844-5833
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Provider Business Mailing Address
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Address Line | 8055 MAYFIELD RD STE 105
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City | CHESTERLAND
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State | OH
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Zip | 44026-2447
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Country | US
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Telephone | 440-214-8027
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Fax | 216-201-8173
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.024317
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN.412009
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License Number State | OH
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