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General NPI Number Information
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NPI Number | 1710951801
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Entity Type | Organization
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Legal Business Name | ST VINCENT CHARITY MEDICAL CENTER
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 2351 E 22ND ST
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City | CLEVELAND
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State | OH
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Zip | 44115-3111
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Country | US
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Telephone | 216-861-6200
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Fax | 440-746-3405
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Provider Business Mailing Address
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Address Line | 6935 TREELINE DR SUITE J
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City | BRECKSVILLE
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State | OH
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Zip | 44141-3393
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Country | US
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Telephone | 440-746-3401
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Fax | 440-746-3405
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Authorized Official
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Title or Position | SENIOR VP & CFO
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Name | MR. JOHN RUSNACZYK
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Credential |
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Telephone | 216-363-7718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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