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General NPI Number Information
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NPI Number | 1023436375
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Entity Type | Organization
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Legal Business Name | THE METROHEALTH SYSTEM
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 2500 METROHEALTH DRIVE
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City | CLEVELAND
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State | OH
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Zip | 44109-1998
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Country | US
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Telephone | 216-957-2442
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Fax | 216-957-2404
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Provider Business Mailing Address
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Address Line | 2500 METROHEALTH DRIVE
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City | CLEVELAND
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State | OH
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Zip | 44109-1998
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Country | US
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Telephone | 216-957-2442
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Fax | 216-957-2404
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Authorized Official
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Title or Position | EVP/CFO
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Name | MR. DERRICK HOLLINGS
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Credential |
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Telephone | 216-778-5716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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