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General NPI Number Information
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NPI Number | 1548661366
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Entity Type | Organization
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Legal Business Name | CLEVELAND CLINIC MERCY HOSPITAL
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 125 CANTON RD NW
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City | CARROLLTON
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State | OH
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Zip | 44615-1009
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Country | US
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Telephone | 330-627-8873
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Fax |
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Provider Business Mailing Address
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Address Line | 125 CANTON RD NW
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City | CARROLLTON
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State | OH
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Zip | 44615-1009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MICHAEL C HOLT
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Credential |
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Telephone | 330-489-1268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 12597
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License Number State | OH
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