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General NPI Number Information
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NPI Number | 1619863602
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Entity Type | Organization
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Legal Business Name | CLEVELAND GENERAL HOSPITAL LLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 300 E CROCKETT ST
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City | CLEVELAND
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State | TX
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Zip | 77327-4029
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Country | US
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Telephone | 281-592-5410
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Fax |
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Provider Business Mailing Address
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Address Line | 7407 WESTVIEW DR UNIT D
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City | HOUSTON
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State | TX
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Zip | 77055-1072
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Country | US
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Telephone | 219-683-7569
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | PAUL MCCUTCHEN
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Credential |
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Telephone | 210-683-7569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number |
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License Number State |
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