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General NPI Number Information
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NPI Number | 1487797858
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Entity Type | Organization
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Legal Business Name | MOUNT SINAI MEDICAL CENTER
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 1450 MADISON AVE BOX 1068
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City | NEW YORK
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State | NY
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Zip | 10029-6508
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Country | US
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Telephone | 212-241-7139
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Fax | 212-849-2441
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Provider Business Mailing Address
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Address Line | 1 GUSTAVE L LEVY PL BOX 1068
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City | NEW YORK
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State | NY
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Zip | 10029-6500
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Country | US
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Telephone | 212-241-7139
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Fax | 212-849-2441
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. DEBORAH B MARIN
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Credential | M.D.
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Telephone | 212-241-7139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 1653021
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License Number State | NY
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