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General NPI Number Information
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NPI Number | 1356516736
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Entity Type | Organization
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Legal Business Name | BETH ISRAEL MEDICAL CENTER FACULTY PRACTICE
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 150 E 71ST ST
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City | NEW YORK
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State | NY
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Zip | 10021-5119
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Country | US
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Telephone | 212-879-4742
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Fax | 212-288-2126
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Provider Business Mailing Address
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Address Line | 150 E 71ST ST
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City | NEW YORK
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State | NY
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Zip | 10021-5119
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Country | US
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Telephone | 212-879-4742
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Fax | 212-288-2126
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | WINDY JOHNSON
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Credential |
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Telephone | 212-879-4742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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