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General NPI Number Information
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NPI Number | 1942735238
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Entity Type | Individual
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Provider Name | EMILIA CALVARESI MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE # LL-134
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City | CLEVELAND
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State | OH
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Zip | 44195-1100
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Country | US
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Telephone | 216-444-9484
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE # LL2-134
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City | CLEVELAND
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State | OH
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Zip | 44195-0002
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Country | US
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Telephone | 216-444-9484
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0007X
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Taxonomy Name | Molecular Genetic Pathology (Pathology) Physician
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License Number | 35.142057
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number | 10964148-1205
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License Number State | UT
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