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General NPI Number Information
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NPI Number | 1114334000
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Entity Type | Organization
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Legal Business Name | NORWALK HOSPITAL
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Dates
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Enumeration Date | 07/13/2014
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Last Update Date | 07/13/2014
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Provider Practice Location Address
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Address Line | 61 W 85TH ST APARTMENT 2B
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City | NEW YORK
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State | NY
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Zip | 10024-4120
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Country | US
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Telephone | 203-247-1123
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Fax |
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Provider Business Mailing Address
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Address Line | 61 W 85TH ST APARTMENT 2B
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City | NEW YORK
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State | NY
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Zip | 10024-4120
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Country | US
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Telephone | 203-247-1123
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Fax |
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Authorized Official
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Title or Position | MANAGER, CP3
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Name | KATHY DUNN
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Credential | BS, RN
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Telephone | 203-852-2265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 672928-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 672928-1
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License Number State | NY
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