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General NPI Number Information
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NPI Number | 1851920821
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Entity Type | Organization
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Legal Business Name | NORTHSHORE REHABILITATION MEDICINE
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 26300 EUCLID AVE STE 333
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City | EUCLID
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State | OH
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Zip | 44132-3708
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Country | US
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Telephone | 216-302-1500
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Fax | 216-302-1520
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Provider Business Mailing Address
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Address Line | 26300 EUCLID AVE STE 333
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City | EUCLID
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State | OH
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Zip | 44132-3708
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Country | US
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Telephone | 216-302-1500
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Fax | 216-302-1520
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | THOMAS FLOOD
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Credential | NP
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Telephone | 216-302-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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