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General NPI Number Information
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NPI Number | 1306220454
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Entity Type | Organization
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Legal Business Name | COLUMBIA PRESBYTERIAN HOSPITAL
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 627 W 165TH ST SUITE 515
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City | NEW YORK
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State | NY
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Zip | 10032-3790
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Country | US
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Telephone | 212-305-0230
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Fax |
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Provider Business Mailing Address
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Address Line | 2 ELLWOOD ST APT 3X
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City | NEW YORK
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State | NY
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Zip | 10040-1917
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Country | US
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Telephone | 203-671-3568
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Fax |
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Authorized Official
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Title or Position | CORPORATE DIRECTOR, PA SERVICES DEP
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Name | COLLEEN KALMBACH
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Credential | PA
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Telephone | 212-305-0230
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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 | 23 018818
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License Number State | NY
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