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General NPI Number Information
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NPI Number | 1508247818
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Entity Type | Organization
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Legal Business Name | MEMORIAL SLOAN KETTERING
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 136 MOUNTAINVIEW BLVD
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-3444
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Country | US
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Telephone | 908-542-3194
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Fax |
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Provider Business Mailing Address
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Address Line | 136 MOUNTAINVIEW BLVD
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-3444
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Country | US
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Telephone | 908-542-3194
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | KATHRYN MARTIN
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Credential |
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Telephone | 212-639-2623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 28RS00663700
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License Number State | NJ
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