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General NPI Number Information
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NPI Number | 1265601967
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITALS MEDICAL PRACTICES INC
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 22750 ROCKSIDE RD # 302
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City | BEDFORD
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State | OH
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Zip | 44146-1574
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Country | US
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Telephone | 440-735-2525
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Fax | 440-786-2729
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Provider Business Mailing Address
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Address Line | PO BOX 74568
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City | CLEVELAND
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State | OH
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Zip | 44194-0002
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Country | US
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Telephone | 216-383-6776
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Fax | 216-383-6745
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Authorized Official
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Title or Position | DIRECTOR OF BILING SERVICES
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Name | STEVE RIDDLE
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Credential |
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Telephone | 216-383-6480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | OH
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