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General NPI Number Information
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NPI Number | 1801166046
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Entity Type | Individual
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Provider Name | JAMES SCOTT WEAVER R.PH.
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Gender | Male
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 201 DEPOT ST STE 200
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City | LATROBE
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State | PA
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Zip | 15650-1802
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Country | US
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Telephone | 724-539-7820
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Fax | 724-539-1388
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Provider Business Mailing Address
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Address Line | 201 DEPOT ST STE 200 P.O. BOX 852
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City | LATROBE
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State | PA
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Zip | 15650-1802
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Country | US
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Telephone | 724-539-7820
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Fax | 724-539-1388
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP-032000-L
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License Number State | PA
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