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General NPI Number Information
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NPI Number | 1235468885
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Entity Type | Organization
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Legal Business Name | ST. VINCENT'S CATHOLIC MEDICAL CENTER
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 12/10/2009
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Provider Practice Location Address
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Address Line | 170 W 12TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-8202
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Country | US
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Telephone | 845-304-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 31 BANK ST APT 4W
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City | NEW YORK
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State | NY
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Zip | 10014-5263
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Country | US
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Telephone | 845-304-7575
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT FINANCES
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Name | MR. ROBERT REN
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Credential |
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Telephone | 212-356-4458
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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 | 013481
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License Number State | NY
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