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General NPI Number Information
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NPI Number | 1053649509
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Entity Type | Organization
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Legal Business Name | HARLEM HOSPITAL
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 506 LENOX AVE
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City | NEW YORK
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State | NY
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Zip | 10037-1802
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Country | US
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Telephone | 121-293-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 506 LENOX AVE
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City | NEW YORK
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State | NY
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Zip | 10037-1802
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Country | US
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Telephone | 121-293-9100
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Fax |
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Authorized Official
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Title or Position | NURSE ANESTHETIST
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Name | MR. GERALD ANTHONY KHAN
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Credential | C.R.N.A
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Telephone | 18453627753
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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 | 29860-1
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License Number State | NY
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