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General NPI Number Information
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NPI Number | 1144019928
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Entity Type | Organization
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Legal Business Name | THE CLEVELAND CLINIC FOUNDATION
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 20050 HARVARD AVE
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City | WARRENSVILLE HEIGHTS
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State | OH
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Zip | 44122-6816
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Country | US
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Telephone | 216-491-7550
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Fax | 216-491-7659
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE # JJ10
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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 | 216-445-5614
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Fax | 216-445-0025
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF PHARMACY
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Name | MATTHEW D SODER
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Credential |
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Telephone | 216-445-5614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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