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General NPI Number Information
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NPI Number | 1053794230
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Entity Type | Organization
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Legal Business Name | MEMORIAL SLOAN KETTERING CANCER CENTER
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 1233 YORK AVE SUITE 11-O
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City | NEW YORK
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State | NY
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Zip | 10065-6306
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Country | US
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Telephone | 416-315-7095
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Fax |
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Provider Business Mailing Address
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Address Line | 1233 YORK AVE SUITE 11-O
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City | NEW YORK
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State | NY
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Zip | 10065-6306
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Country | US
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Telephone | 416-315-7095
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Fax |
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Authorized Official
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Title or Position | GYNECOLOGIC ONCOLOGY FELLOW
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Name | DR. PAULINA CYBULSKA
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Credential | M.D.,
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Telephone | 416-315-7095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 91340
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License Number State | ZZ
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