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General NPI Number Information
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NPI Number | 1811198310
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Entity Type | Organization
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Legal Business Name | RICHARD H. WEYER MD PC
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 165 EL CAMINO REAL
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2807
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Country | US
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Telephone | 520-458-1787
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Fax | 520-458-1519
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Provider Business Mailing Address
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Address Line | 165 EL CAMINO REAL
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2807
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Country | US
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Telephone | 520-458-1787
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Fax | 520-458-1519
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RICHARD HELGE WEYER
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Credential | MD
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Telephone | 520-458-1787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 11286
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License Number State | AZ
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