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General NPI Number Information
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NPI Number | 1235556473
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Entity Type | Organization
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Legal Business Name | INTERPRETIVE REPORTS LLC
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 03/10/2017
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Provider Practice Location Address
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Address Line | 13370 PROSPECT RD
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City | STRONGSVILLE
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State | OH
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Zip | 44149-3854
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Country | US
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Telephone | 440-879-0078
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Fax | 440-879-0084
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Provider Business Mailing Address
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Address Line | 13370 PROSPECT RD
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City | STRONGSVILLE
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State | OH
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Zip | 44149-3854
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Country | US
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Telephone | 440-879-0078
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Fax | 440-879-0084
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Authorized Official
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Title or Position | MEMBER
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Name | CRAIG D KENNEDY
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Credential |
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Telephone | 440-879-0078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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