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General NPI Number Information
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NPI Number | 1891734786
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Entity Type | Organization
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Legal Business Name | NORTHEASTERN OHIO SURGICAL SPECILAIST
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1860 STATE RD
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-1422
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Country | US
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Telephone | 330-945-7144
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Fax | 330-945-7275
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Provider Business Mailing Address
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Address Line | 1860 STATE RD
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-1422
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Country | US
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Telephone | 330-945-7144
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Fax | 330-945-7275
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS WEHMANN
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Credential | DO
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Telephone | 330-945-7144
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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 | 34-004141
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 34-004141
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License Number State | OH
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