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General NPI Number Information
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NPI Number | 1871670786
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Entity Type | Individual
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Provider Name | SHELDON G WEISS MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 11725 N ILLINOIS ST SUITE 350
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City | CARMEL
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State | IN
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Zip | 46032-3008
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Country | US
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Telephone | 317-688-5200
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Fax | 317-688-5215
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Provider Business Mailing Address
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Address Line | 1752 BEAUFAIN ST
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City | CARMEL
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State | IN
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Zip | 46032-7200
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Country | US
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Telephone | 317-201-5510
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01058675
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License Number State | IN
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