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General NPI Number Information
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NPI Number | 1528592573
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Entity Type | Organization
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Legal Business Name | NEW YORK PRESBYTERIAN HOSPITAL-WEILL CORNELL
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 9644 SUTTON GREEN CT
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City | VIENNA
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State | VA
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Zip | 22181-6105
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Country | US
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Telephone | 703-424-1290
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Fax |
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Provider Business Mailing Address
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Address Line | 9644 SUTTON GREEN CT
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City | VIENNA
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State | VA
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Zip | 22181-6105
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Country | US
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Telephone | 703-424-1290
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Fax |
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Authorized Official
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Title or Position | POST GRADUATE MEDICAL RESIDENT
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Name | DR. RABECCA M VANEVENHOVEN
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Credential | DDS
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Telephone | 703-424-1290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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