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General NPI Number Information
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NPI Number | 1801944285
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Entity Type | Individual
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Provider Name | MARK STEVEN WEISS DC
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 1001 E IMPERIAL HWY A-1
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City | BREA
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State | CA
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Zip | 92821-5619
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Country | US
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Telephone | 714-256-0411
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Fax | 714-256-0511
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Provider Business Mailing Address
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Address Line | 1343 VINA DEL MAR CIR
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City | PLACENTIA
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State | CA
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Zip | 92870
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Country | US
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Telephone | 714-809-2408
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC23403
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License Number State | CA
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