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General NPI Number Information
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NPI Number | 1922112952
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Entity Type | Organization
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Legal Business Name | ALAN E KRAVITZ MD INC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 29001 CEDAR RD #615
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City | LYNDHURST
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State | OH
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Zip | 44124-4062
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Country | US
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Telephone | 440-995-4000
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Fax | 440-995-4023
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Provider Business Mailing Address
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Address Line | 29001 CEDAR RD #615
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City | LYNDHURST
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State | OH
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Zip | 44124-4062
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Country | US
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Telephone | 440-995-4000
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Fax | 440-995-4023
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN E KRAVITZ IV
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Credential | MD
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Telephone | 440-995-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35-038909
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License Number State | OH
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