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General NPI Number Information
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NPI Number | 1851694079
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Entity Type | Organization
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Legal Business Name | HARRY WEISMAN, M.D., F.A.C.P.
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 100 UCLA MEDICAL PLZ STE 220
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City | LOS ANGELES
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State | CA
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Zip | 90024-7004
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Country | US
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Telephone | 310-824-0760
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Fax |
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Provider Business Mailing Address
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Address Line | 100 UCLA MEDICAL PLZ STE 220
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City | LOS ANGELES
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State | CA
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Zip | 90024-7004
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Country | US
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Telephone | 310-824-0760
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARRY WEISMAN
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Credential | M.D
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Telephone | 310-824-0760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | G29245
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License Number State | CA
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