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NPI 1306837398

NPI 1306837398 : NEW YORK UNIVERSITY : BOYNTON BEACH, FL

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General NPI Number Information
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    NPI Number           |    1306837398
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW YORK UNIVERSITY 
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Dates
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    Enumeration Date     |    10/31/2005
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    Last Update Date     |    09/27/2024
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Provider Practice Location Address
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    Address Line         |    3301 QUANTUM BLVD 
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33426-8668
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    Country              |    US
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    Telephone            |    877-648-2964
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    550 1ST AVE 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10016-6402
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    Country              |    US
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    Telephone            |    212-263-3293
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SR. ASST. DEAN OF CLINICAL AFFAIRS
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    Name                 |     ANDREW T. RUBIN 
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    Credential           |    
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    Telephone            |    212-263-2824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    
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    License Number State |    
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