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General NPI Number Information
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NPI Number | 1326048182
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Entity Type | Organization
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Legal Business Name | PRETERM CLEVELAND INC
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12000 SHAKER BLVD
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City | CLEVELAND
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State | OH
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Zip | 44120-1922
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Country | US
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Telephone | 216-991-4577
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Fax | 216-991-4571
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Provider Business Mailing Address
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Address Line | 12000 SHAKER BLVD
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City | CLEVELAND
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State | OH
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Zip | 44120-1922
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Country | US
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Telephone | 216-991-4577
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Fax | 216-991-4571
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CHRISSE FRANCE
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Credential |
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Telephone | 216-991-4577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0288AS
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License Number State | OH
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