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General NPI Number Information
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NPI Number | 1376882449
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Entity Type | Organization
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Legal Business Name | WEHMAN NEUROSURGERY, LLC
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Dates
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Enumeration Date | 02/08/2013
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Last Update Date | 09/06/2019
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Provider Practice Location Address
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Address Line | 80 W GORE ST
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City | ORLANDO
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State | FL
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Zip | 32806-1114
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Country | US
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Telephone | 407-254-0005
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Fax | 407-254-0009
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Provider Business Mailing Address
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Address Line | 2423 S ORANGE AVE PMB 381
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City | ORLANDO
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State | FL
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Zip | 32806-4543
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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 | PRESIDENT
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Name | JOSEPH CHRISTOPHER WEHMAN
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Credential | MD
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Telephone | 407-254-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME98043
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License Number State | FL
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