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General NPI Number Information
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NPI Number | 1295993178
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Entity Type | Organization
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Legal Business Name | MT SINAI MEDICAL CENTER
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 5 E 98TH ST 3RD FLOOR
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City | NEW YORK
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State | NY
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Zip | 10029-6501
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Country | US
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Telephone | 212-659-6799
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Fax |
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Provider Business Mailing Address
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Address Line | 5 E 98TH ST 3RD FLOOR
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City | NEW YORK
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State | NY
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Zip | 10029-6501
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Country | US
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Telephone | 212-659-6799
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Fax |
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Authorized Official
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Title or Position | ADULT NURSE PRACTITIONER
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Name | MISS JULIA ELSA LEONE HECKER
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Credential | BA BSN MSN ANP
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Telephone | 917-331-8824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 30 304813
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License Number State | NY
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