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Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Organization
THE CLEVELAND CLINIC FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
36040 DETROIT RD, STE A, AVON, OH 44011-1686
(886) 636-3318
Mailing address
6801 BRECKSVILLE RD, STE 20 ATTN: DPC RK2-7, INDEPENDENCE, OH 44131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
04/04/2025
Last updated
08/12/2025
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