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General NPI Number Information
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NPI Number | 1891943494
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Entity Type | Organization
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Legal Business Name | WEISS CHIROPRACTIC OFFICE PLLC
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 133 LOUDON RD
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City | CONCORD
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State | NH
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Zip | 03301-5611
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Country | US
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Telephone | 603-224-1846
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Fax | 603-224-2028
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Provider Business Mailing Address
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Address Line | 133 LOUDON RD
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City | CONCORD
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State | NH
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Zip | 03301-5611
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Country | US
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Telephone | 603-224-1846
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Fax | 603-224-2028
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Authorized Official
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Title or Position | MEMBER
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Name | DR. KEITH ANDREW WEISS
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Credential | D.C.
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Telephone | 603-224-1846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 550-1198
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License Number State | NH
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