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General NPI Number Information
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NPI Number | 1528359692
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Entity Type | Organization
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Legal Business Name | MOUNT SINAI SCHOOL OF MEDICINE
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL BOX 1187
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City | NEW YORK
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State | NY
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Zip | 10029-6574
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Country | US
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Telephone | 212-241-0300
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Fax | 212-996-9793
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Provider Business Mailing Address
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Address Line | 1 GUSTAVE L LEVY PL BOX 1187
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City | NEW YORK
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State | NY
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Zip | 10029-6574
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Country | US
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Telephone | 212-241-0300
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Fax | 212-996-9793
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | ANNA MILLER
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Credential |
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Telephone | 212-241-2375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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