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General NPI Number Information
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NPI Number | 1184729386
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Entity Type | Individual
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Provider Name | TRUMAN FREDERICK WEIGAND JR. MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 1250 RALSTON AVE STE 204
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City | DEFIANCE
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State | OH
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Zip | 43512-5309
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Country | US
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Telephone | 419-783-6997
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Fax | 419-782-6103
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Provider Business Mailing Address
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Address Line | 1 SEAGATE STE 800
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City | TOLEDO
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State | OH
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Zip | 43604-1558
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Country | US
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Telephone | 419-783-6997
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Fax | 419-782-6103
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35054480
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License Number State | OH
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