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General NPI Number Information
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NPI Number | 1003161100
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Entity Type | Organization
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Legal Business Name | RAINBOW BABIES & CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE RBC 637
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-983-5261
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Fax |
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Provider Business Mailing Address
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Address Line | 11100 EUCLID AVE RBC 637
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-983-5261
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC NURSE PRACTITIONER
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Name | JODI LYNN ZALEWSKI
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Credential | MSN, CPNP
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Telephone | 216-983-5261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 13497
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License Number State | OH
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