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General NPI Number Information
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NPI Number | 1407136609
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Entity Type | Organization
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Legal Business Name | ST. BARNABUS HOSPITAL
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 08/19/2011
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Provider Practice Location Address
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Address Line | 260 E 188TH ST 5TH FLOOR
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City | BRONX
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State | NY
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Zip | 10458-5302
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Country | US
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Telephone | 718-960-3382
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Fax | 718-933-2502
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Provider Business Mailing Address
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Address Line | 61 W 62ND ST 8J
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City | NEW YORK
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State | NY
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Zip | 10023-7015
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Country | US
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Telephone | 347-631-7045
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | SCOTT COOPER
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Credential | M.D.
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Telephone | 718-960-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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