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General NPI Number Information
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NPI Number | 1558423095
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Entity Type | Organization
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Legal Business Name | CLEVELAND SURGI-CENTER, INC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3535 LEE RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44120-5122
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Country | US
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Telephone | 216-295-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 3535 LEE RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44120-5122
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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 | ACCOUNTS MANAGER
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Name | MRS. JENNIFER HARDING
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Credential |
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Telephone | 216-295-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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