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General NPI Number Information
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NPI Number | 1184428336
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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 | 04/04/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 36040 DETROIT RD STE A
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City | AVON
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State | OH
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Zip | 44011-1686
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Country | US
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Telephone | 886-636-3318
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Fax |
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Provider Business Mailing Address
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Address Line | 6801 BRECKSVILLE RD STE 20 ATTN: DPC RK2-7
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City | INDEPENDENCE
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State | OH
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Zip | 44131
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VP CHIEF FINANCE OFFICER
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Name | DENNIS LARAWAY
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Credential |
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Telephone | 216-445-1343
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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