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General NPI Number Information
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NPI Number | 1265712129
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Entity Type | Individual
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Provider Name | JEANNE AMUTA M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/24/2011
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Last Update Date | 08/10/2022
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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 | 44195-1402
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Country | US
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Telephone | 214-448-0212
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Fax |
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Provider Business Mailing Address
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Address Line | 13604 STARWREATH DR
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City | PEARLAND
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State | TX
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Zip | 77584-3783
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Country | US
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Telephone | 917-405-2323
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 264433
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License Number State | NY
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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 | 331625
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.143229
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License Number State | OH
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