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General NPI Number Information
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NPI Number | 1457403016
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Entity Type | Organization
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Legal Business Name | EUCLID HOSPITAL CLEVELAND CLINIC HEALTH SYSTEM
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 30 E 213TH ST
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City | EUCLID
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State | OH
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Zip | 44123-1065
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Country | US
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Telephone | 216-731-4292
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Fax |
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Provider Business Mailing Address
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Address Line | 30 E 213TH ST
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City | EUCLID
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State | OH
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Zip | 44123-1065
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Country | US
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Telephone | 216-692-8646
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Fax |
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Authorized Official
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Title or Position | RNFA
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Name | MS. MARYANNE MIANOROYER
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Credential | RN, BSN,CNOR,RNFA
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Telephone | 216-731-4292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | RN 155178
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License Number State | OH
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