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General NPI Number Information
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NPI Number | 1295003390
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Entity Type | Organization
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Legal Business Name | HOSPITAL FOR SPECIAL SURGERY
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Dates
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Enumeration Date | 12/05/2011
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 430 E, 63RD STREET, #4L
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City | NEW YORK
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State | NY
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Zip | 10065
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Country | US
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Telephone | 832-691-7672
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Fax |
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Provider Business Mailing Address
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Address Line | 430 E 63RD ST APT 4L NEW YORK
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City | NEW YORK
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State | NY
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Zip | 10065-7921
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FELLOW
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Name | DR. ANISH GOVIND RADHAKRISHNAN POTTY
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Credential | MD
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Telephone | 832-691-7672
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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 | P81566
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License Number State | NY
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