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General NPI Number Information
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NPI Number | 1871402834
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Entity Type | Individual
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Provider Name | ELIZABETH IRENE WEAVER RN
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Gender | Female
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 5490 W PARADISE LN
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City | GLENDALE
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State | AZ
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Zip | 85306-2535
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Country | US
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Telephone | 623-412-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 6450 W PARKSIDE LN
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City | GLENDALE
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State | AZ
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Zip | 85310-4202
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Country | US
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Telephone |
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Fax |
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | RN190152
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License Number State | AZ
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