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General NPI Number Information
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NPI Number | 1861702599
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Entity Type | Organization
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Legal Business Name | CLEVELAND CLINIC FOUNDATION
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 8701 DARROW RD
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City | TWINSBURG
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State | OH
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Zip | 44087-2178
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Country | US
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Telephone | 330-888-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 WEST CREEK RD STE 10
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2182
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Country | US
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Telephone | 800-223-2273
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANIEL MEDVE
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Credential |
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Telephone | 216-973-3321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 022130950
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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