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General NPI Number Information
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NPI Number | 1053365361
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Entity Type | Organization
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Legal Business Name | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 20000 HARVARD AVE
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City | WARRENSVILLE HEIGHTS
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State | OH
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Zip | 44122-6805
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Country | US
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Telephone | 216-491-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 6801 BRECKSVILLE RD SUITE 20 RK 10
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City | INDEPENDENCE
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State | OH
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Zip | 44131-5032
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Country | US
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Telephone | 216-636-8052
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Fax | 216-636-8088
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Authorized Official
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Title or Position | CHIEF ACCT OFFICER AND CONTROLLER
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Name | TIMOTHY L. LONGVILLE
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Credential |
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Telephone | 216-636-7416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 1297
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License Number State | OH
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