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General NPI Number Information
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NPI Number | 1063604064
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Entity Type | Individual
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Provider Name | EDUARDO MIRELES-CABODEVILA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE A90
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 501-445-5765
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Fax | 501-445-1878
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE A90
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 501-445-5765
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Fax | 501-445-1878
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.099841
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | E5665
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 35.099841
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E5665
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | E5665
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License Number State | AR
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35.099841
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License Number State | OH
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