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General NPI Number Information
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NPI Number | 1487180592
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Entity Type | Individual
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Provider Name | MONA AL BANNA MB BCH , MSC
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Gender | Female
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | CLEVELAND CLINIC FAIRVIEW HOSPITAL 18101 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111
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Country | US
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Telephone | 216-476-7000
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Fax |
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Provider Business Mailing 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 | 44195-3220
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Country | US
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Telephone | 216-339-6844
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME156769
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD477914
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 1.069025
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35.145396
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License Number State | OH
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