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General NPI Number Information
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NPI Number | 1932073822
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Entity Type | Organization
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Legal Business Name | SOUTH WEST GENERAL HEALTH CENTER
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 18697 BAGLEY RD
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City | MIDDLEBURG HEIGHTS
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State | OH
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Zip | 44130-3417
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Country | US
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Telephone | 440-816-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 5748 OVERLOOK WAY
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44039-5155
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SURGICAL ASSISTANT
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Name | DAVID L MCCLURE
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Credential | CERTIFIED
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Telephone | 440-668-1883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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