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General NPI Number Information
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NPI Number | 1427327873
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Entity Type | Organization
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Legal Business Name | GUILDNET HEALTH ADVANTAGE
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Dates
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Enumeration Date | 12/14/2011
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Last Update Date | 12/14/2011
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Provider Practice Location Address
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Address Line | 15 W 65TH ST ATTN: FINANCE
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City | NEW YORK
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State | NY
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Zip | 10023-6601
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Country | US
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Telephone | 212-769-6286
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Fax |
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Provider Business Mailing Address
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Address Line | 15 W 65TH ST ATTN: FINANCE
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City | NEW YORK
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State | NY
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Zip | 10023-6601
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Country | US
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Telephone | 212-769-6286
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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 | DR. ALAN R MORSE
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Credential |
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Telephone | 212-769-6215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State | NY
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