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General NPI Number Information
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NPI Number | 1174703227
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Entity Type | Organization
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Legal Business Name | SOUTHWEST PULMONARY ASSOCIATES INC
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 7550 LUCERNE DR SUITE 405
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City | CLEVELAND
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State | OH
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Zip | 44130-6588
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Country | US
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Telephone | 800-556-6236
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Fax | 440-234-3313
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Provider Business Mailing Address
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Address Line | 5500 RIDGE RD SUITE 140
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City | PARMA
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State | OH
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Zip | 44129-2394
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Country | US
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Telephone | 440-884-7272
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Fax | 440-884-7972
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN J CLARY
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Credential | M.D.
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Telephone | 440-884-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35050093
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License Number State | OH
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