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General NPI Number Information
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NPI Number | 1710240981
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Entity Type | Organization
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Legal Business Name | CITY OF CLEVELAND
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 11100 SAINT CLAIR AVE
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City | CLEVELAND
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State | OH
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Zip | 44108-1943
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Country | US
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Telephone | 216-664-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 75 ERIEVIEW PLZ 3RD FLOOR
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City | CLEVELAND
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State | OH
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Zip | 44114-1839
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Country | US
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Telephone | 216-664-2000
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Fax | 216-420-7741
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Authorized Official
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Title or Position | DIRECTOR, DEPARTMENT OF HEALTH
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Name | MS. KAREN K. BUTLER
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Credential | MPH
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Telephone | 216-664-7414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 1073
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License Number State | OH
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