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General NPI Number Information
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NPI Number | 1952388522
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Entity Type | Individual
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Provider Name | STANLEY DUFF WEISS DDS
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Gender | Male
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1127 DALEWOOD ST
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City | KINGSTON
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State | NY
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Zip | 12401-1011
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Country | US
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Telephone | 845-336-5114
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Fax | 845-336-7590
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Provider Business Mailing Address
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Address Line | 146 BRANCHWOOD LN
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City | NANUET
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State | NY
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Zip | 10954-1048
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Country | US
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Telephone | 845-425-8131
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Fax | 845-425-8132
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 027336
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License Number State | NY
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