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General NPI Number Information
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NPI Number | 1538895024
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Entity Type | Individual
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Provider Name | SAIRA SATTAR BHUTTA
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Gender | Female
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 18101 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-5612
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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 | 7315 ROYAL PORTRUSH DR
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City | SOLON
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State | OH
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Zip | 44139-5250
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Country | US
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Telephone | 216-333-4016
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 50.007765RX
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License Number State | OH
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