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General NPI Number Information
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NPI Number | 1992991491
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Entity Type | Individual
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Provider Name | PUJA S VAN EPPS MD
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Gender | Female
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 10701 EAST BLVD
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City | CLEVELAND
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State | OH
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Zip | 44106-1702
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Country | US
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Telephone | 216-791-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 30065 BOLINGBROOK RD
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City | PEPPER PIKE
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State | OH
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Zip | 44124-5356
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Country | US
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Telephone | 619-335-0395
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 35.097022
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 52356
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License Number State | OH
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