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General NPI Number Information
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NPI Number | 1235584061
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Entity Type | Organization
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Legal Business Name | NUMC
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 04/29/2016
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Provider Practice Location Address
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Address Line | 2201 HEMPSTEAD TPKE
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City | EAST MEADOW
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State | NY
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Zip | 11554-1859
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Country | US
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Telephone | 516-296-3209
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Fax |
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Provider Business Mailing Address
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Address Line | 111 EDMUNTON DR APT G6
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City | NORTH BABYLON
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State | NY
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Zip | 11703-5259
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Country | US
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Telephone | 516-885-4988
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Fax |
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Authorized Official
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Title or Position | ACTIVITIES SPECIALIST I
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Name | MS. STACEY BRYAN
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Credential | 52930 CTRS
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Telephone | 516-885-4988
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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 | 52930
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License Number State | NY
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