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General NPI Number Information
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NPI Number | 1003882762
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Entity Type | Individual
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Provider Name | ANITA CHERIYAN MD
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Gender | Female
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 25200 CENTER RIDGE RD #3200
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City | WESTLAKE
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State | OH
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Zip | 44145
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Country | US
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Telephone | 440-895-5040
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Fax | 440-895-5073
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Provider Business Mailing Address
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Address Line | 20525 CENTER RIDGE RD STE 220
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City | ROCKY RIVER
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State | OH
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Zip | 44116
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Country | US
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Telephone | 440-895-5056
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Fax | 440-895-5050
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35052512C
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License Number State | OH
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