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General NPI Number Information
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NPI Number | 1730364621
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Entity Type | Organization
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Legal Business Name | THOMAS P CLIFFEL, MD, INC
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 14200 MADISON AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-4510
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Country | US
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Telephone | 216-521-5553
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Fax | 216-521-1233
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Provider Business Mailing Address
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Address Line | 14200 MADISON AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-4510
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Country | US
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Telephone | 216-521-5553
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Fax | 216-521-1233
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS P CLIFFEL
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Credential | M.D.
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Telephone | 216-521-5553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number | 35030083C
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License Number State | OH
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