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General NPI Number Information
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NPI Number | 1407291776
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Entity Type | Organization
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Legal Business Name | PHELPS MEMORIAL HOSPITAL CENTER
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 701 N BROADWAY
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1020
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Country | US
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Telephone | 914-366-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 701 N BROADWAY
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1020
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Country | US
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Telephone | 914-366-3000
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LAWRNECE FALTZ
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Credential | M.D.
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Telephone | 914-366-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 337834
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License Number State | NY
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