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General NPI Number Information
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NPI Number | 1518157403
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITALS CASE MEDICAL CENTER
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE DIVISION OF NEPHROLOGY & HYPERTENSION, 8TH FLOOR LKSD
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-844-8060
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Fax |
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Provider Business Mailing Address
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Address Line | 2423 SAYBROOK RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-3701
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Country | US
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Telephone | 216-337-5391
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Fax |
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Authorized Official
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Title or Position | MANAGER, GME OFFICE
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Name | MR. WILL REBELLO
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Credential |
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Telephone | 216-844-3887
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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 | 35
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License Number State | OH
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