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General NPI Number Information
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NPI Number | 1851731830
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Entity Type | Individual
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Provider Name | SUSMITA MOOKERJEE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2013
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 13719 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-3439
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Country | US
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Telephone | 216-307-3005
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Fax | 216-710-5360
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Provider Business Mailing Address
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Address Line | 13719 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-3439
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Country | US
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Telephone | 216-307-3005
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Fax | 216-710-5360
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35.129168
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.129168
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301103990
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License Number State | MI
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