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General NPI Number Information
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NPI Number | 1083817589
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Entity Type | Organization
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Legal Business Name | RHEUMATOLOGISTS LLC
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 29099 HEALTH CAMPUS DR SUITE 350
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City | WESTLAKE
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State | OH
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Zip | 44145-5200
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Country | US
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Telephone | 440-899-4917
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Fax | 440-871-7940
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Provider Business Mailing Address
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Address Line | 29099 HEALTH CAMPUS DR SUITE 350
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City | WESTLAKE
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State | OH
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Zip | 44145-5200
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Country | US
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Telephone | 440-899-4917
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Fax | 440-871-7940
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. JORGE LUIS ZEVALLOS SR.
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Credential |
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Telephone | 440-899-4917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 35100071
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License Number State | OH
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