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General NPI Number Information
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NPI Number | 1851662175
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITALS CASE MEDICAL CENTER
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE # 3001
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-844-3267
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Fax | 216-844-1841
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Provider Business Mailing Address
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Address Line | 11100 EUCLID AVE # 3001
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-844-3267
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Fax | 216-844-1841
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | COLETTE BUCUR
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Credential | CNP
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Telephone | 216-844-1902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | COA.08599-NP
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License Number State | OH
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