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General NPI Number Information
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NPI Number | 1104200146
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER
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Dates
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Enumeration Date | 07/18/2015
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 2131 LAKE AVE
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City | ASHTABULA
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State | OH
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Zip | 44004-3466
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Country | US
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Telephone | 440-992-0759
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Fax | 440-992-1334
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Provider Business Mailing Address
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Address Line | PO BOX 772930
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City | DETROIT
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State | MI
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Zip | 48277-2930
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Country | US
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Telephone | 440-466-1141
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Fax | 216-767-8778
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Authorized Official
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Title or Position | DIRECTOR, FP&A
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Name | ANTHONY SCHILLERO
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Credential |
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Telephone | 216-767-8141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | OH
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