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General NPI Number Information
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NPI Number | 1053937433
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Entity Type | Individual
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Provider Name | SINEAD O'SHAUGHNESSY M.D
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Gender | Female
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 525 E 68TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 212-746-2949
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Fax |
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Provider Business Mailing Address
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Address Line | 525 EAST 68TH STREET BOX 124 NEW YORK
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City | NEW YORK
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State | NY
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Zip | 10065
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Country | US
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Telephone | 646-541-0232
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 302167
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License Number State | NY
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