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General NPI Number Information
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NPI Number | 1720142268
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Entity Type | Individual
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Provider Name | RAYMOND LENGEL
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Gender | Male
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 01/22/2009
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Provider Practice Location Address
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Address Line | 1001 LAKESIDE AVE E SUITE 1000
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City | CLEVELAND
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State | OH
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Zip | 44114-1158
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Country | US
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Telephone | 888-444-4850
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Fax |
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Provider Business Mailing Address
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Address Line | 9207 VICTORIA LN
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44035-8584
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Country | US
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Telephone | 440-327-1907
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP07037
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN280327
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License Number State | OH
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