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General NPI Number Information
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NPI Number | 1457519563
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Entity Type | Individual
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Provider Name | ROSLYN MARY CUSACK RNC NIC
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Gender | Female
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Dates
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Enumeration Date | 05/26/2008
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 525 EAST 68TH STREET NEW YORK PRESBYTERIAN HOSPITAL
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City | NYC
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State | NY
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Zip | 10021
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Country | US
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Telephone | 212-746-0318
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Fax |
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Provider Business Mailing Address
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Address Line | 525 EAST 68TH STREET NEW YORK PRESBYTERIAN HOSPITAL-CORNELL WEILL DIVISION
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City | NYC
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State | NY
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Zip | 10021
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Country | US
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Telephone | 212-746-0318
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 263643
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 078013
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 263643
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License Number State | NY
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