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General NPI Number Information
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NPI Number | 1245575927
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Entity Type | Organization
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Legal Business Name | FACULTY PRACTICE ASSOCIATGE, MOUNT SINAI SCHOOL OF MEDICINE
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 1190 5TH AVE BOX 1028
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City | NEW YORK
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State | NY
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Zip | 10029-6503
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Country | US
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Telephone | 212-241-5646
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Fax | 212-241-0038
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Provider Business Mailing Address
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Address Line | 1190 5TH AVE BOX 1028
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City | NEW YORK
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State | NY
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Zip | 10029-6503
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Country | US
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Telephone | 212-241-5646
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Fax | 212-241-0038
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | BETH P. WARKENTHIEN
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Credential |
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Telephone | 212-241-4546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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