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General NPI Number Information
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NPI Number | 1275752768
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Entity Type | Organization
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Legal Business Name | NYU MEDICAL CENTER
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 600 HACKENSACK ST
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City | CARLSTADT
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State | NJ
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Zip | 07072-1317
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Country | US
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Telephone | 201-531-9228
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Fax |
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Provider Business Mailing Address
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Address Line | 160 E 34TH ST 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10016-4750
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Country | US
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Telephone | 212-731-5431
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Fax | 212-731-5502
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | KATHLEEN M MADDEN
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Credential | N.P
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Telephone | 212-731-5332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 334832
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License Number State | NY
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