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General NPI Number Information
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NPI Number | 1740552223
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Entity Type | Organization
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Legal Business Name | SAINT VINCENT CHARITY MEDICAL CENTER
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Dates
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Enumeration Date | 01/31/2012
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Last Update Date | 01/31/2012
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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 |
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Provider Business Mailing Address
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Address Line | 3410 WOOSTER RD APARTMENT #312
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City | ROCKY RIVER
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State | OH
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Zip | 44116-4173
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Country | US
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Telephone | 440-429-5198
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Fax |
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Authorized Official
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Title or Position | INTERNAL MEDIICNE
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Name | BUTHAYNA ALKHATIB DINARY
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Credential | MD
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Telephone | 440-429-5198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 57.019014
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License Number State | OH
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