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General NPI Number Information
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NPI Number | 1023362100
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Entity Type | Organization
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Legal Business Name | CLEVELAND CLINIC MERCY HOSPITAL
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Dates
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Enumeration Date | 10/29/2012
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1459 SUPERIOR AVE NE
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City | CANTON
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State | OH
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Zip | 44705-1964
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Country | US
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Telephone | 330-588-4893
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Fax | 330-453-2793
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Provider Business Mailing Address
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Address Line | 6801 BRECKSVILLE RD STE 20, ATTN: DPC RK2-7
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City | INDPENDENCE
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State | OH
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Zip | 44131-5062
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VP CHIEF FINANCE OFFICER
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Name | MR. DENNIS LARAWAY
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Credential |
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Telephone | 330-445-1343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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