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General NPI Number Information
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NPI Number | 1902075344
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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 | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 30987 KILGOUR DR
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City | WESTLAKE
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State | OH
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Zip | 44145-6833
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Country | US
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Telephone | 440-871-0693
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Fax | 440-871-0693
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Provider Business Mailing Address
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Address Line | 30987 KILGOUR DR
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City | WESTLAKE
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State | OH
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Zip | 44145-6833
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Country | US
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Telephone | 440-871-0693
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Fax | 440-871-0693
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Authorized Official
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Title or Position | RESIDENT
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Name | DR. MARGARITA EMILIA MARTIRENA
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Credential | MD
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Telephone | 216-444-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | OH
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