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General NPI Number Information
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NPI Number | 1336454834
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Entity Type | Organization
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Legal Business Name | RUMC
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 355 BARD AVE OB/GYN DEPARTMENT
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City | STATEN ISLAND
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State | NY
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Zip | 10310-1664
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Country | US
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Telephone | 718-818-4293
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Fax |
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Provider Business Mailing Address
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Address Line | 355 BARD AVENUE OB/GYN DEPARTMENT
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City | STATEN ISLAND
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State | NY
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Zip | 10310-4203
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Country | US
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Telephone | 718-818-4293
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | WOJCIECH RYNCARZ
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Credential | MD
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Telephone | 718-818-2493
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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 |
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License Number State |
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