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General NPI Number Information
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NPI Number | 1174556823
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Entity Type | Organization
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Legal Business Name | TRUSTEES COLUMBIA UNIVERSITY CITY NY CENTER INTERVENTIONAL VASCULAR TH
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 161 FORT WASHINGTON AVE 6TH FLOOR HIP
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City | NEW YORK
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State | NY
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Zip | 10032-3729
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Country | US
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Telephone | 212-342-3616
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Fax |
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Provider Business Mailing Address
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Address Line | 630 W 168TH ST BOX 4
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT/CHIEF OFFICER
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Name | JOANNE M.J QUAN
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Credential |
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Telephone | 212-342-2939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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