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General NPI Number Information
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NPI Number | 1982640496
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Entity Type | Individual
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Provider Name | SANFORD JAY WEITZBUCH DPM
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 16311 VENTURA BLVD SUITE 650
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City | ENCINO
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State | CA
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Zip | 91436-2124
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Country | US
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Telephone | 818-907-5433
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Fax | 818-224-4886
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Provider Business Mailing Address
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Address Line | 4499 ALTA TUPELO DR
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City | CALABASAS
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State | CA
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Zip | 91302-2514
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Country | US
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Telephone | 818-907-5433
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Fax | 818-224-4886
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E2393
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License Number State | CA
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