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General NPI Number Information
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NPI Number | 1356814958
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Entity Type | Organization
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Legal Business Name | CLEVELAND CHILDRENS SURGERY CENTER LLC
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Dates
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Enumeration Date | 01/07/2019
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Last Update Date | 02/04/2019
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Provider Practice Location Address
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Address Line | 7690 FIRST PL STE E
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City | BEDFORD
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State | OH
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Zip | 44146-6725
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Country | US
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Telephone | 216-539-8253
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Fax | 216-302-3416
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Provider Business Mailing Address
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Address Line | 182 INDUSTRIAL RD
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City | GLEN ROCK
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State | PA
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Zip | 17327-8626
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Country | US
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Telephone | 717-759-4375
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Fax | 717-759-4336
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Authorized Official
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Title or Position | CEO
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Name | RAYMOND FIGUEROA
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Credential |
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Telephone | 717-759-4375
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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 |
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License Number State |
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