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General NPI Number Information
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NPI Number | 1972467579
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Entity Type | Organization
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Legal Business Name | WEYMOUTH SURGICAL
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3501 RICE ST STE 2018
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City | LIHUE
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State | HI
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Zip | 96766-1764
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Country | US
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Telephone | 808-211-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 RICE ST STE 2018
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City | LIHUE
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State | HI
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Zip | 96766-1764
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Country | US
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Telephone | 808-211-2700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER WEYMOUTH
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Credential | DO
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Telephone | 808-212-7007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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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 | 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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