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General NPI Number Information
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NPI Number | 1821190521
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Entity Type | Individual
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Provider Name | DIYANA GUNAWARDENA MD, PH.D
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 2500 METROHEALTH DR MHMC-MEDICINE/CARDIOLOGY
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City | CLEVELAND
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State | OH
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Zip | 44109-1900
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Country | US
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Telephone | 216-778-7189
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Fax |
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Provider Business Mailing Address
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Address Line | 35840 TIMBERLANE DR MHMC-MEDICINE/CARDIOLOGY
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City | SOLON
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State | OH
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Zip | 44139-2429
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Country | US
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Telephone | 440-840-3875
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Fax |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35071930
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License Number State | OH
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