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General NPI Number Information
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NPI Number | 1942205851
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Entity Type | Individual
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Provider Name | DAVID N WEIDENSAUL MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 1701 EAST 23RD
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City | HUTCHINSON
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State | KS
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Zip | 67502
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Country | US
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Telephone | 316-612-4815
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Fax | 316-612-4825
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Provider Business Mailing Address
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Address Line | 1712 E. 23RD
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City | HUTCHINSON
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State | KS
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Zip | 67502
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Country | US
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Telephone | 620-960-1259
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Fax | 620-662-0538
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 0416898
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 04-16898
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License Number State | KS
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