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General NPI Number Information
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NPI Number | 1649559394
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Entity Type | Organization
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Legal Business Name | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 2940 N MCCORD RD STE 101
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City | TOLEDO
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State | OH
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Zip | 43615-1753
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Country | US
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Telephone | 419-842-3000
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Fax | 419-942-3042
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Provider Business Mailing Address
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Address Line | 2940 N MCCORD RD
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City | TOLEDO
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State | OH
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Zip | 43615-1753
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Country | US
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Telephone | 419-842-3000
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Fax | 419-942-3042
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Authorized Official
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Title or Position | DIRECTOR
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Name | TANYA WINES
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Credential |
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Telephone | 567-585-0422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WC3500X
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Taxonomy Name | Cardiac Rehabilitation Registered Nurse
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License Number |
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License Number State |
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