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General NPI Number Information
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NPI Number | 1831147792
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Entity Type | Individual
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Provider Name | ANNA G WEIGEL PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 10/23/2016
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Provider Practice Location Address
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Address Line | 700 E ST STE 203
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2782
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Country | US
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Telephone | 415-762-0737
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Fax | 510-315-3163
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Provider Business Mailing Address
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Address Line | 700 E ST STE 203
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2782
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Country | US
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Telephone | 415-762-0737
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Fax | 510-315-3163
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY18431
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License Number State | CA
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