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General NPI Number Information
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NPI Number | 1295580991
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Entity Type | Organization
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Legal Business Name | BEECHFIELD MEDICAL CENTER
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Dates
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Enumeration Date | 04/17/2024
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 18697 BAGLEY RD
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City | CLEVELAND
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State | OH
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Zip | 44130-3497
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Country | US
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Telephone | 248-747-0730
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Fax |
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Provider Business Mailing Address
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Address Line | 7212 BOULDER WOOD DR
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City | BROADVIEW HTS
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State | OH
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Zip | 44147-2267
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. EKUNDAYO BOLAJI
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Credential | MD
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Telephone | 248-747-0730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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