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General NPI Number Information
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NPI Number | 1326254608
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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 | 05/15/2007
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Last Update Date | 10/31/2011
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Provider Practice Location Address
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Address Line | 345 E 24TH ST ROOM 844
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 212-998-9561
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Fax | 212-995-4654
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Provider Business Mailing Address
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Address Line | 345 E 24TH ST ROOM 844
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 212-998-9561
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Fax | 212-995-4654
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Authorized Official
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Title or Position | EXECUTIVE VP, FINANCE AND IT
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Name | MR. MARTIN DORPH
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Credential |
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Telephone | 212-992-8282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CLIA33D0653344
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License Number State | NY
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