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NPI 1497917983

NPI 1497917983 : PHELPS MEMORIAL HOSPITAL ASSOCIATION : TARRYTOWN, NY

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General NPI Number Information
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    NPI Number           |    1497917983
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    Entity Type          |    Organization 
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    Legal Business Name  |    PHELPS MEMORIAL HOSPITAL ASSOCIATION 
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Dates
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    Enumeration Date     |    06/26/2008
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    Last Update Date     |    07/20/2012
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Provider Practice Location Address
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    Address Line         |    155 WHITE PLAINS RD 210A
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    City                 |    TARRYTOWN
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    State                |    NY
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    Zip                  |    10591-5523
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    Country              |    US
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    Telephone            |    914-269-1763
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    155 WHITE PLAINS RD 210A
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    City                 |    TARRYTOWN
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    State                |    NY
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    Zip                  |    10591-5523
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    Country              |    US
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    Telephone            |    914-269-1763
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF PROFESSIONAL BILLING
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    Name                 |    MR. CHARLES  RYKE 
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    Credential           |    
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    Telephone            |    914-269-1763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    093343-1
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    106477
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    135197-1
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    License Number State |    NY
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Taxonomy #4
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    155904-1
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    License Number State |    NY
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