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General NPI Number Information
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NPI Number | 1992097711
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITAL
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 6841 DAY DR APT 801
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City | CLEVELAND
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State | OH
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Zip | 44129-5450
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Country | US
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Telephone | 832-721-9653
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Fax |
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Provider Business Mailing Address
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Address Line | 6841 DAY DR APT 801
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City | CLEVELAND
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State | OH
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Zip | 44129-5450
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Country | US
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Telephone | 832-721-9653
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Fax |
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Authorized Official
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Title or Position | PODIATRY RESIDENT
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Name | MS. RENEE RODRIGUEZ
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Credential | D.P.M
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Telephone | 832-721-9653
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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 | 19106425
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License Number State | TX
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