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General NPI Number Information
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NPI Number | 1700160652
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Entity Type | Organization
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Legal Business Name | METRO HEALTH MEDICAL CENTER
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 19460 KNOWLTON PKWY APT # 205
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City | STRONGSVILLE
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State | OH
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Zip | 44149-9053
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Country | US
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Telephone | 951-210-3926
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Fax |
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Provider Business Mailing Address
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Address Line | 19460 KNOWLTON PARK WAY APT # 205
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City | STRONGSVILLE
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State | OH
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Zip | 44149-9053
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Country | US
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Telephone | 951-210-3926
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | RAMYA M SARVA
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Credential | M.D
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Telephone | 951-210-3926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 57. 019220
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License Number State | OH
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