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General NPI Number Information
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NPI Number | 1285871814
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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 | 01/20/2009
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Last Update Date | 01/20/2009
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Provider Practice Location Address
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Address Line | 1275 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 212-639-6735
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Fax | 212-717-3397
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Provider Business Mailing Address
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Address Line | 1275 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 212-639-6735
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Fax | 212-717-3397
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Authorized Official
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Title or Position | ATTENDING
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Name | DR. ANN M DNISTRIAN
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Credential | PH.D.
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Telephone | 212-639-7487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | DNISA1
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License Number State | NY
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