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General NPI Number Information
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NPI Number | 1982631453
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Entity Type | Individual
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Provider Name | STEPHEN WEISS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 550 PEACHTREE ST 9TH FLOOR MOT
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City | ATLANTA
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State | GA
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Zip | 30308
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Country | US
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Telephone | 404-778-3401
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Fax | 404-686-4476
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Provider Business Mailing Address
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Address Line | 1055 MCLYNN AVE NE
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City | ATLANTA
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State | GA
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Zip | 30306-3324
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Country | US
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Telephone | 404-873-5031
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Fax |
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 26956
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License Number State | GA
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