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General NPI Number Information
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NPI Number | 1811287220
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Entity Type | Organization
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Legal Business Name | CLEVELAND EYE CARE & SURGERY, INC.
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Dates
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Enumeration Date | 04/19/2011
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 24755 CHAGRIN BLVD SUITE 345
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City | BEACHWOOD
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State | OH
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Zip | 44122-5692
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Country | US
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Telephone | 216-297-3230
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Fax | 216-342-5290
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Provider Business Mailing Address
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Address Line | 24755 CHAGRIN BLVD SUITE 345
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City | BEACHWOOD
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State | OH
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Zip | 44122-5692
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Country | US
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Telephone | 216-297-3230
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Fax | 216-342-5290
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID J MITCHELL
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Credential | M.D.
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Telephone | 216-297-3230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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