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General NPI Number Information
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NPI Number | 1396296927
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Entity Type | Organization
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Legal Business Name | CASE WESTERN RESERVE UNIVERSITY
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 2103 CORNELL RD WRB 5127
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City | CLEVELAND
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State | OH
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Zip | 44106-3860
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Country | US
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Telephone | 216-368-6613
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Fax |
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Provider Business Mailing Address
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Address Line | 2103 CORNELL RD WRB 5127
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City | CLEVELAND
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State | OH
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Zip | 44106-3860
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Country | US
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Telephone | 216-368-6613
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Fax |
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Authorized Official
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Title or Position | PROFESSOR
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Name | DR. VINCENT M MONNIER
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Credential | M.D.
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Telephone | 216-368-6613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | 35051006
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License Number State | OH
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