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General NPI Number Information
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NPI Number | 1710214358
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 3909 ORANGE PL SUITE 4400
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City | BEACHWOOD
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State | OH
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Zip | 44122-4478
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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 | 3605 WARRENSVILLE CENTER RD 1ST FLOOR
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City | SHAKER HTS
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State | OH
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Zip | 44122-5203
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Country | US
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Telephone | 216-286-6260
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Fax | 216-286-6341
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | LARRY MCELROY
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Credential |
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Telephone | 216-767-8717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | OH
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