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General NPI Number Information
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NPI Number | 1013545938
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Entity Type | Individual
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Provider Name | SOFIA ADA BERTOLONI MELI MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 03/27/2020
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Provider Practice Location Address
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Address Line | UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER 11100 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-844-3722
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Fax |
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Provider Business Mailing Address
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Address Line | 2147 E MEADOWBLUFF CT
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City | BLOOMINGTON
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State | IN
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Zip | 47401-6885
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Country | US
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Telephone | 812-219-3857
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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