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General NPI Number Information
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NPI Number | 1245404557
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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 | 04/17/2008
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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 CCF ANESTHESIOLOGY INSTITUTE, BLDG E20
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City | CLEVELAND
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State | OH
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Zip | 44195
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Country | US
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Telephone | 216-444-4621
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Fax |
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Provider Business Mailing Address
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Address Line | 740 W SUPERIOR AVE STE # 705
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City | CLEVELAND
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State | OH
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Zip | 44113-1804
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Country | US
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Telephone | 216-298-4468
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. 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 | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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