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General NPI Number Information
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NPI Number | 1578214037
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Entity Type | Organization
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Legal Business Name | CUC HEALTH LLC
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Dates
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Enumeration Date | 01/15/2022
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Last Update Date | 07/17/2022
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Provider Practice Location Address
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Address Line | 26901 BROOKPARK ROAD EXT
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3176
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Country | US
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Telephone | 440-471-7044
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Fax | 833-741-2649
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Provider Business Mailing Address
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Address Line | 14529 PURITAS AVE
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City | CLEVELAND
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State | OH
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Zip | 44135-2813
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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 | PRESIDENT
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Name | DR. ABEDALHAKEEM ABUKHALIL
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Credential |
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Telephone | 440-554-7025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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