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General NPI Number Information
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NPI Number | 1053563767
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Entity Type | Organization
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Legal Business Name | CLEVELAND CLINIC
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 8601 OAKWOOD LN
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-2267
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Country | US
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Telephone | 440-237-4583
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Fax |
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Provider Business Mailing Address
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Address Line | 8601 OAKWOOD LANE
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City | NORTH ROYALTON
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State | OH
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Zip | 44133
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Country | US
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Telephone | 440-237-4583
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANIEL MEDVE
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Credential |
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Telephone | 216-973-3321
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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 | RN179015
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License Number State | OH
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