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General NPI Number Information
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NPI Number | 1346348091
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Entity Type | Organization
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Legal Business Name | THE CLEVELAND CLINIC FOUNDATION
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 2550 SOM CENTER RD
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City | WILLOUGHBY HILLS
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State | OH
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Zip | 44094-9655
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Country | US
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Telephone | 440-516-8620
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Fax | 440-516-8629
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Provider Business Mailing Address
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Address Line | 2570 SOM CENTER RD
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City | WILLOUGHBY HILLS
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State | OH
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Zip | 44094-9607
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Country | US
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Telephone | 216-445-2362
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Fax | 216-445-0025
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Authorized Official
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Title or Position | CHIEF ACCOUNTING OFFICER
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Name | MR. TIM LONGVILLE
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Credential |
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Telephone | 216-636-7416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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