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General NPI Number Information
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NPI Number | 1841253028
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Entity Type | Individual
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Provider Name | ROGER M WEISS DO
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 11/26/2018
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Provider Practice Location Address
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Address Line | 6847 N CHESTNUT ST SUITE 330
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City | RAVENNA
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State | OH
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Zip | 44266-3929
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Country | US
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Telephone | 330-296-8048
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Fax | 330-296-8208
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Provider Business Mailing Address
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Address Line | 701 WHITE POND DR SUITE 300
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City | AKRON
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State | OH
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Zip | 44320-1127
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Country | US
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Telephone | 330-572-1011
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Fax | 330-572-1018
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 34006137W
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 054629
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License Number State | CO
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