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General NPI Number Information
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NPI Number | 1841768280
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Entity Type | Organization
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Legal Business Name | W&W MEDICAL CONSULTING PLLC
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Dates
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Enumeration Date | 11/03/2018
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Last Update Date | 11/03/2018
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Provider Practice Location Address
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Address Line | 100 E ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3328
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Country | US
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Telephone | 956-518-1016
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Fax | 956-372-1717
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Provider Business Mailing Address
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Address Line | 49 CORTEZ AVE
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City | RANCHO VIEJO
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State | TX
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Zip | 78575-9629
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Country | US
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Telephone | 956-518-1016
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Fax |
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Authorized Official
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Title or Position | CEO/ PROVIDER
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Name | MARK JORDAN WEISBERG
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Credential | MD
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Telephone | 956-518-1016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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