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General NPI Number Information
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NPI Number | 1205836830
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Entity Type | Organization
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Legal Business Name | CENTER FOR SPECIALTY CARE INC
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 50 E 69TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-5016
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Country | US
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Telephone | 212-249-8000
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Fax | 212-249-7300
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Provider Business Mailing Address
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Address Line | 50 E 69TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-5016
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Country | US
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Telephone | 212-249-8000
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Fax | 212-249-7300
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. JAMES W SMITH
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Credential | MD
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Telephone | 212-452-5177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 7002133R
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License Number State | NY
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