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General NPI Number Information
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NPI Number | 1174852461
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Entity Type | Organization
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Legal Business Name | MAYFIELD SPINE SURGERY CENTER LLC
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 4020 SMITH RD
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City | CINCINNATI
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State | OH
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Zip | 45209-1936
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Country | US
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Telephone | 513-619-5899
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Fax | 513-619-5897
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Provider Business Mailing Address
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Address Line | 4020 SMITH RD
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City | CINCINNATI
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State | OH
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Zip | 45209-1936
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Country | US
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Telephone | 513-619-5899
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Fax | 513-619-5897
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Authorized Official
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Title or Position | AO
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Name | ERICA LYNN WEHRMEISTER
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Credential |
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Telephone | 314-800-2058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0834AS
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License Number State | OH
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