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General NPI Number Information
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NPI Number | 1033258256
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Entity Type | Organization
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Legal Business Name | CLEVELAND RENAL ASSOC., LTD.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6701 ROCKSIDE RD SUITE 365
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2358
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Country | US
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Telephone | 216-901-5706
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Fax | 216-901-6201
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Provider Business Mailing Address
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Address Line | 6701 ROCKSIDE RD SUITE 365
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2358
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Country | US
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Telephone | 216-901-5706
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Fax | 216-901-6201
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NEZAR RAHIM
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Credential | M.D.
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Telephone | 216-901-5706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 35. 035375
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License Number State | OH
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