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General NPI Number Information
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NPI Number | 1285173716
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Entity Type | Organization
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Legal Business Name | MEMORIAL SLOAN KETTERING CANCER CENTER
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 117 HARTFORD AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-3111
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Country | US
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Telephone | 646-209-7672
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Fax |
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Provider Business Mailing Address
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Address Line | 117 HARTFORD AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-3111
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Country | US
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Telephone | 646-209-7672
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. KRISTEN EVELYN BATTIATO
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Credential | MSN
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Telephone | 646-209-7672
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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 | 308081
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License Number State | NY
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