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General NPI Number Information
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NPI Number | 1205904687
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Entity Type | Organization
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Legal Business Name | CLEVELAND CLINIC FOUNDATION
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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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 | 216-444-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 W CREEK RD SUITE 10
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2139
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Country | US
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Telephone | 216-444-2200
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANIEL MEDVE
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Credential |
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Telephone | 216-973-3321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery 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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology 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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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