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General NPI Number Information
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NPI Number | 1780656793
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Entity Type | Individual
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Provider Name | PHILIP J WEBER MD
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 5625 CENEX DR - MAIL STOP 33100A HEALTH PARTNERS INVER GROVE HEIGHTS CLINIC
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-1735
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Country | US
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Telephone | 651-552-2600
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Fax | 651-552-2614
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Provider Business Mailing Address
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Address Line | 8170 33RD AVE S MS21110Q
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City | MINNEAPOLIS
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State | MN
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Zip | 55425-4516
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Country | US
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Telephone | 952-883-5375
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Fax | 651-552-2614
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 33373
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License Number State | MN
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