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General NPI Number Information
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NPI Number | 1114038353
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Entity Type | Organization
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Legal Business Name | NEW YORK UNIVERSITY MEDICAL CENTER FACULTY PRACTICE RADIOLOGY
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/24/2009
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Provider Practice Location Address
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Address Line | 650 1ST AVE 8TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10016-3240
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Country | US
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Telephone | 212-263-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 650 1ST AVE 8TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10016-3240
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Country | US
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Telephone | 212-263-0050
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, BUSINESS SERVICES
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Name | FELIX OKHIRIA
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Credential |
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Telephone | 212-263-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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