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General NPI Number Information
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NPI Number | 1992896591
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Entity Type | Individual
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Provider Name | WAYNE R. WEBER MD
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8635 FIRESTONE BLVD SUITE # 100
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City | DOWNEY
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State | CA
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Zip | 90241-5242
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Country | US
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Telephone | 562-862-5121
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Fax | 562-862-3027
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Provider Business Mailing Address
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Address Line | 3050 E AIRPORT WAY
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City | LONG BEACH
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State | CA
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Zip | 90806-2404
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Country | US
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Telephone | 562-426-9661
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Fax | 562-426-4227
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C31321
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License Number State | CA
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