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General NPI Number Information
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NPI Number | 1790739050
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Entity Type | Individual
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Provider Name | STEVEN DOUGLASWEEKS WEEKS PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 35 AIKENS CTR
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City | MARTINSBURG
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State | WV
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Zip | 25401-5708
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Country | US
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Telephone | 304-264-2290
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Fax | 304-264-2295
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Provider Business Mailing Address
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Address Line | 6 S MAIN ST PO BOX 245
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City | KEEDYSVILLE
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State | MD
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Zip | 21756-1346
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Country | US
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Telephone | 301-432-5714
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 01133
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License Number State | WV
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