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General NPI Number Information
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NPI Number | 1700739687
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Entity Type | Individual
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Provider Name | DAVID LONG
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Gender | Male
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 11000 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-1714
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Country | US
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Telephone | 216-844-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 511 SUNSET AVE
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City | SHEFFIELD LAKE
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State | OH
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Zip | 44054-1362
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Country | US
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Telephone | 216-905-1657
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 448265
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License Number State | OH
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