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General NPI Number Information
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NPI Number | 1336683622
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Entity Type | Organization
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Legal Business Name | THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 441 E FORDHAM RD
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City | BRONX
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State | NY
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Zip | 10458-5149
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Country | US
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Telephone | 212-305-5974
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Fax | 212-305-6193
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Provider Business Mailing Address
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Address Line | 622 W 168TH ST PH-11-1130
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-5974
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Fax | 212-305-6193
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Authorized Official
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Title or Position | CHAIR/CHIEF OF SERVICE
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Name | WILLIAM LEVINE
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Credential | M.D.
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Telephone | 212-305-5974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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