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General NPI Number Information
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NPI Number | 1629276266
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Entity Type | Organization
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Legal Business Name | T. FREDERICK WEIGAND JR MD INC
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 725 S SHOOP AVE
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City | WAUSEON
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State | OH
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Zip | 43567-1702
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Country | US
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Telephone | 419-335-6880
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Fax |
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Provider Business Mailing Address
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Address Line | 725 S SHOOP AVE
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City | WAUSEON
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State | OH
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Zip | 43567-1702
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Country | US
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Telephone | 419-335-6880
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TRUMAN F WEIGAND JR.
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Credential | MD
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Telephone | 419-335-6880
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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 |
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License Number State |
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