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General NPI Number Information
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NPI Number | 1083653570
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Entity Type | Organization
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Legal Business Name | CROSS RIVER ANESTHESIOLOGIST SERVICES, PC-CRNA
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 6511 SPRING BROOK AVE NORTHERN DUTCHESS HOSPITAL
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City | RHINEBECK
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State | NY
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Zip | 12572-3709
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Country | US
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Telephone | 845-871-3368
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Fax |
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Provider Business Mailing Address
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Address Line | 43 KENSICO DR 2ND FLOOR
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City | MOUNT KISCO
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State | NY
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Zip | 10549-1009
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Country | US
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Telephone | 914-666-8866
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Fax | 914-666-6777
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL S. MOSES
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Credential | MD
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Telephone | 914-666-8866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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