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General NPI Number Information
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NPI Number | 1326215138
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Entity Type | Organization
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Legal Business Name | CLEVELAND CLINIC FOUNDATION
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 05/12/2008
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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 | 44195-0001
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Country | US
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Telephone | 216-444-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 44195 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-2200
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC INTERN
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Name | DR. CAREY TAUTE
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Credential | M.D.
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Telephone | 216-444-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 57013957
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License Number State | OH
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