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General NPI Number Information
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NPI Number | 1376083055
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Entity Type | Organization
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Legal Business Name | MONTEFIORE NEW ROCHELLE
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 2365 BOSTON POST RD
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City | LARCHMONT
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State | NY
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Zip | 10538-3500
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Country | US
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Telephone | 914-302-2701
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Fax | 914-302-2704
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Provider Business Mailing Address
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Address Line | 2365 BOSTON POST RD
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City | LARCHMONT
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State | NY
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Zip | 10538-3500
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Country | US
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Telephone | 914-302-2701
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Fax | 914-302-2704
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Authorized Official
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Title or Position | CAO
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Name | MICHAEL G DOWLING
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Credential |
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Telephone | 914-377-4668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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