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General NPI Number Information
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NPI Number | 1396876488
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Entity Type | Organization
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Legal Business Name | TERENCE CARDINAL COOKE HEALTH CARE CENTER
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 1249 5TH AVE
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City | NEW YORK
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State | NY
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Zip | 10029-4413
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Country | US
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Telephone | 212-360-3764
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Fax | 212-427-9488
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Provider Business Mailing Address
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Address Line | 1249 5TH AVE
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City | NEW YORK
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State | NY
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Zip | 10029-4413
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Country | US
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Telephone | 212-360-3764
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Fax | 212-427-9488
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Authorized Official
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Title or Position | SR. VP
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Name | MRS. ANNMARIE COVONE
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Credential |
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Telephone | 646-633-4702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 7002345N
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | 7002345N
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 7002345N
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number | 7002345N
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License Number State | NY
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