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General NPI Number Information
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NPI Number | 1982881827
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Entity Type | Organization
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Legal Business Name | WESTON GROUP INC.
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 3331 AVENSONG VILLAGE CIR
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City | ALPHARETTA
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State | GA
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Zip | 30004-7433
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Country | US
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Telephone | 917-945-5475
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Fax |
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Provider Business Mailing Address
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Address Line | 3331 AVENSONG VILLAGE CIR
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City | ALPHARETTA
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State | GA
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Zip | 30004-7433
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Country | US
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Telephone | 917-945-5475
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST ASST
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Name | MISS ELIZABETH DUMAS
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Credential |
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Telephone | 917-945-5475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | PTA002298
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License Number State | GA
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