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General NPI Number Information
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NPI Number | 1982383089
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Entity Type | Individual
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Provider Name | MARCIA WEILAND DDS
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Gender | Female
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1890 WAITE ST STE 1
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City | NORTH BEND
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State | OR
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Zip | 97459-1229
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Country | US
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Telephone | 541-756-6232
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Fax |
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Provider Business Mailing Address
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Address Line | 222 TONGASS DR
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City | SITKA
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State | AK
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Zip | 99835-9416
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Country | US
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Telephone | 907-364-4548
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Fax | 907-966-8317
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D12141
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 212625
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License Number State | AK
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