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General NPI Number Information
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NPI Number | 1174650014
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Entity Type | Organization
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Legal Business Name | BELLEVUE HOSPITAL
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 79-01 BROADWAY D-11
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City | ELMHURST
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State | NY
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Zip | 11373
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Country | US
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Telephone | 718-334-3515
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Fax | 718-334-5688
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Provider Business Mailing Address
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Address Line | 79-01 BROADWAY D-11
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City | ELMHURST
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State | NY
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Zip | 11373
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Country | US
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Telephone | 718-334-3515
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Fax | 718-334-5688
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MARGARET GONI
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Credential | M.D.
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Telephone | 212-729-3297
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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 | 231680
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License Number State | NY
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