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General NPI Number Information
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NPI Number | 1326471756
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Entity Type | Organization
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Legal Business Name | MOUNT SINAI HOSPITAL
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 1500 S. CALIFORNIA AVE
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City | CHICAGO
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State | IL
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Zip | 60608
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Country | US
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Telephone | 773-257-6278
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 S. CALIFORNIA AVE R208
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City | CHICAGO
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State | IL
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Zip | 60608
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Country | US
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Telephone | 773-257-6278
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Fax |
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Authorized Official
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Title or Position | RESIDENCY PROGRAM DIRECTOR
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Name | DR. JOSEF BLANKSTEIN
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Credential | M.D.
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Telephone | 773-257-6278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NW0100X
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Taxonomy Name | Women's Hospital
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License Number | 125.064008
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License Number State | IL
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