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General NPI Number Information
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NPI Number | 1225425010
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Entity Type | Organization
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Legal Business Name | MOUNT SINAI HOSPITAL
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 1500 S FAIRFIELD AVE
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City | CHICAGO
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State | IL
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Zip | 60608-1782
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Country | US
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Telephone | 941-400-9482
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 S. FAIRFIELD AVE.
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City | CHICAGO
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State | IL
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Zip | 60608
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Country | US
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Telephone | 941-400-9482
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Fax |
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Authorized Official
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Title or Position | NURSE ANESTHETIST
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Name | MS. MARGARET ELISE BISHOP
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Credential | CRNA
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Telephone | 941-400-9482
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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 | 209011944
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License Number State | IL
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