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General NPI Number Information
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NPI Number | 1972540532
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Entity Type | Organization
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Legal Business Name | CLEVELAND IMAGING AND SURGICAL HOSPITAL, L.L.C.
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 1017 S TRAVIS AVE
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City | CLEVELAND
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State | TX
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Zip | 77327-5152
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Country | US
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Telephone | 281-622-2900
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Fax | 281-659-9732
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Provider Business Mailing Address
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Address Line | PO BOX 4247
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City | HOUSTON
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State | TX
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Zip | 77210-4247
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Country | US
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Telephone | 281-622-2900
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Fax | 281-659-9732
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Authorized Official
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Title or Position | VICE PRESIDENT MANAGED CARE
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Name | ROBYN M FINNEGAN
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Credential |
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Telephone | 513-454-1428
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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 | 008404
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License Number State | TX
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