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General NPI Number Information
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NPI Number | 1457751349
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Entity Type | Organization
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Legal Business Name | TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 51 W 51ST ST SUITE 100
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City | NEW YORK
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State | NY
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Zip | 10019-6113
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Country | US
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Telephone | 212-326-5701
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Fax |
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Provider Business Mailing Address
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Address Line | 51 W 51ST ST SUITE 100
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City | NEW YORK
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State | NY
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Zip | 10019-6113
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Country | US
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Telephone | 212-326-5701
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Fax |
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Authorized Official
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Title or Position | SVP/CHIEF OPERATING OFFICER
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Name | MARK MCDOUGLE
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Credential |
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Telephone | 212-305-6607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State | NY
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