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General NPI Number Information
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NPI Number | 1306071121
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Entity Type | Individual
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Provider Name | SILVIA ELENA PEREZ-PROTTO MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | 2767 LANDON RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-2065
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Country | US
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Telephone | 216-217-2064
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Fax |
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Provider Business Mailing Address
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Address Line | 2767 LANDON RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-2065
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Country | US
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Telephone | 216-217-2064
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 57.012888
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 35-120512
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License Number State | OH
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