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General NPI Number Information
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NPI Number | 1992201222
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Entity Type | Organization
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Legal Business Name | SCOTT ADAM WEISS MD PC
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 04/04/2018
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Provider Practice Location Address
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Address Line | 672 HARLESS PL
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-3504
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Country | US
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Telephone | 917-656-6386
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Fax |
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Provider Business Mailing Address
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Address Line | 672 HARLESS PL
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-3504
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT WEISS
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Credential | MD
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Telephone | 917-656-6386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 221406
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License Number State | NY
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