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General NPI Number Information
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NPI Number | 1609805423
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Entity Type | Organization
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Legal Business Name | WESTSIDE HEALTHCARE LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 06/18/2009
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Provider Practice Location Address
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Address Line | 5260 SMITH RD
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City | BROOK PARK
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State | OH
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Zip | 44142-1747
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Country | US
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Telephone | 216-267-8080
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Fax | 216-267-0050
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Provider Business Mailing Address
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Address Line | 25001 EMERY RD
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City | CLEVELAND
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State | OH
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Zip | 44128-5626
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Country | US
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Telephone | 216-831-9786
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Fax | 216-831-2425
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. JEFFREY A. KAMPMAN
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Credential | CPA
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Telephone | 216-831-9786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 0139IC
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License Number State | OH
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