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General NPI Number Information
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NPI Number | 1285893057
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Entity Type | Organization
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Legal Business Name | MOUNT SINAI MEDICAL CENTER
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 1425 MADISON AVE EAST BLDG ROOM 1170 BOX 1123
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City | NEW YORK
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State | NY
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Zip | 10029-6514
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Country | US
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Telephone | 212-659-9517
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Fax |
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Provider Business Mailing Address
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Address Line | 191 ORCHARD ST APT 1A
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City | NEW YORK
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State | NY
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Zip | 10002-1415
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Country | US
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Telephone | 858-220-9322
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | ELIZABETH ANNE KULA
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Credential | FNP-BC
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Telephone | 858-220-9322
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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 | 335447
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License Number State | NY
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