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NPI Code Detail

MEDICARE: REBECCA WEIGEL

MEDICARE: REBECCA WEIGEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP.1243OH

General Provider Information

NPI Number : 1164831954
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA WEIGEL
Provider Business Mailing Address
First Line : 15 SOUTHMOOR CIR NE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2451
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15 SOUTHMOOR CIR NE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2451
Country : US
Telephone Number : 937-293-7877
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2014
Last Update Date : 08/06/2014

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Directions to “ REBECCA WEIGEL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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