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General NPI Number Information
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NPI Number | 1790341584
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Entity Type | Individual
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Provider Name | PAUL JEFFREY WEATHERBY MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 555 E CHEVES ST
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City | FLORENCE
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State | SC
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Zip | 29506-2617
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Country | US
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Telephone | 843-777-7900
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Fax | 843-432-1925
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Provider Business Mailing Address
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Address Line | 555 E CHEVES ST
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City | FLORENCE
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State | SC
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Zip | 29506-2617
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Country | US
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Telephone | 877-632-6637
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01094386A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 01094386A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 036169220
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 95466
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036169220
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License Number State | IL
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