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General NPI Number Information
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NPI Number | 1487742680
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Entity Type | Organization
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Legal Business Name | NOVAMED SURGERY CENTER OF CLEVELAND LLC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 137 25TH ST NE
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City | CLEVELAND
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State | TN
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Zip | 37311-3944
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Country | US
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Telephone | 423-472-7874
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Fax | 423-472-2881
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Provider Business Mailing Address
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Address Line | 137 25TH STREET NE
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City | CLEVELAND
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State | TN
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Zip | 37311-0001
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Country | US
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Telephone | 423-472-7874
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Fax | 423-472-2881
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARIETHA SILVERS, RN, BS, CASC
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Credential |
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Telephone | 423-472-7874
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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 | 0000000002
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License Number State | TN
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