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NPI 1811030539

NPI 1811030539 : DR. ROBERT B. WEBER, LTD. : TRAPPE, PA

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General NPI Number Information
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    NPI Number           |    1811030539
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. ROBERT B. WEBER, LTD. 
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Dates
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    Enumeration Date     |    02/14/2007
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    Last Update Date     |    04/13/2010
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Provider Practice Location Address
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    Address Line         |    123 W MAIN ST 
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    City                 |    TRAPPE
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    State                |    PA
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    Zip                  |    19426-2034
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    Country              |    US
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    Telephone            |    610-489-2533
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    Fax                  |    610-489-2532
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Provider Business Mailing Address
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    Address Line         |    123 W MAIN ST 
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    City                 |    TRAPPE
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    State                |    PA
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    Zip                  |    19426-2034
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    Country              |    US
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    Telephone            |    610-489-2533
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    Fax                  |    610-489-2532
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ROBERT BRIAN WEBER 
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    Credential           |    D.P.M.
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    Telephone            |    610-489-2533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    SC001363L
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    License Number State |    PA
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