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General NPI Number Information
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NPI Number | 1811000839
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Entity Type | Individual
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Provider Name | DAVID CLEVELAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 500 W THOMAS RD SUITE 500
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City | PHOENIX
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State | AZ
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Zip | 85013-4224
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Country | US
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Telephone | 602-406-6458
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Fax | 602-406-6498
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Provider Business Mailing Address
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Address Line | 3200 N CENTRAL AVE 9TH FLOOR
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City | PHOENIX
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State | AZ
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Zip | 85012-2425
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Country | US
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Telephone | 602-406-3729
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Fax | 602-798-9412
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 28921
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License Number State | AZ
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