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General NPI Number Information
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NPI Number | 1023471059
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Entity Type | Organization
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Legal Business Name | CLEVELAND CENTER FOR COMPREHENSIVE DENTISTRY
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Dates
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Enumeration Date | 03/29/2016
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 3609 PARK EAST DR SUITE 404
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City | BEACHWOOD
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State | OH
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Zip | 44122-4331
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Country | US
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Telephone | 216-591-1161
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Fax |
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Provider Business Mailing Address
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Address Line | 3609 PARK EAST DR SUITE 404
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City | BEACHWOOD
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State | OH
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Zip | 44122-4331
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Country | US
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Telephone | 216-591-1161
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KAREN E FERRANTE
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Credential |
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Telephone | 216-591-1161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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