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General NPI Number Information
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NPI Number | 1043281330
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Entity Type | Organization
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Legal Business Name | CLEVELAND REGIONAL MEDICAL CENTER, LP
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 300 EAST CROCKETT
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City | CLEVELAND
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State | TX
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Zip | 77327-4029
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Country | US
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Telephone | 281-593-1811
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Fax | 281-605-4563
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Provider Business Mailing Address
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Address Line | 300 EAST CROCKETT
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City | CLEVELAND
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State | TX
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Zip | 77327-4029
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Country | US
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Telephone | 281-593-1811
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Fax | 281-605-4563
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAVI MOPARTY
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Credential | M.D.
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Telephone | 832-381-8299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 000108
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License Number State | TX
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