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General NPI Number Information
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NPI Number | 1801907985
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Entity Type | Organization
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Legal Business Name | SOUTHWEST CLEVELAND SLEEP CENTER INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 21625 CHAGRIN BLVD SUITE 120
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City | BEACHWOOD
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State | OH
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Zip | 44122-5363
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Country | US
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Telephone | 216-283-2123
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Fax | 216-283-2133
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Provider Business Mailing Address
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Address Line | 17900 JEFFERSON PARK RD SUITE 102
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City | CLEVELAND
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State | OH
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Zip | 44130-3437
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Country | US
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Telephone | 440-239-7533
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Fax | 440-239-2585
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DR. MANSOOR AHMED
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Credential | MD
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Telephone | 440-239-7533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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