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General NPI Number Information
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NPI Number | 1063598118
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Entity Type | Individual
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Provider Name | RALPH NATHANIEL WHARTON MD
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1070 PARK AVE SUITE#1D
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City | NEW YORK
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State | NY
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Zip | 10128-1000
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Country | US
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Telephone | 212-860-2666
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Fax | 212-831-9456
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Provider Business Mailing Address
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Address Line | 1070 PARK AVE SUITE#1D
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City | NEW YORK
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State | NY
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Zip | 10128-1000
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Country | US
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Telephone | 212-860-2666
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Fax | 212-831-9456
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 086027
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License Number State | NY
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