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General NPI Number Information
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NPI Number | 1316382435
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Entity Type | Organization
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Legal Business Name | UNITED HOUSECALL DOCTORS CORP.
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Dates
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Enumeration Date | 05/02/2013
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 1503 BROOKPARK RD
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City | CLEVELAND
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State | OH
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Zip | 44109-5802
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Country | US
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Telephone | 216-712-4171
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Fax |
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Provider Business Mailing Address
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Address Line | 1503 BROOKPARK RD
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City | CLEVELAND
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State | OH
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Zip | 44109-5802
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Country | US
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Telephone | 216-712-4171
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NADER WARAH
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Credential |
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Telephone | 216-712-4171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 35063037
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License Number State | OH
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