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General NPI Number Information
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NPI Number | 1942526892
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Entity Type | Individual
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Provider Name | MARIA-RAQUEL WEAVER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2010
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 12500 LEBANON RD STE 103
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City | FRISCO
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State | TX
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Zip | 75035-9474
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Country | US
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Telephone | 214-297-0297
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Fax | 214-297-0298
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Provider Business Mailing Address
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Address Line | 9330 LBJ FWY STE 800
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City | DALLAS
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State | TX
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Zip | 75243-4310
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Country | US
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Telephone | 972-792-5700
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Fax | 214-506-1170
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P4833
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License Number State | TX
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