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General NPI Number Information
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NPI Number | 1538314711
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Entity Type | Organization
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Legal Business Name | BETH ISRAEL MEDICAL CENTER
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 317 E 17TH ST 11 FIERMAN HALL
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City | NEW YORK
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State | NY
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Zip | 10003-3804
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Country | US
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Telephone | 212-844-1757
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Fax |
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Provider Business Mailing Address
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Address Line | 317 E 17TH ST 11 FIERMAN HALL
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City | NEW YORK
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State | NY
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Zip | 10003-3804
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Country | US
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Telephone | 212-844-1757
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Fax |
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Authorized Official
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Title or Position | CARDIOTHORACIC SURGEON
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Name | KAMELLIA RANGELOVA DIMITROVA
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Credential | M.D.
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Telephone | 212-844-1757
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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 | 003249-1
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License Number State | NY
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