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General NPI Number Information
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NPI Number | 1538463278
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Entity Type | Organization
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Legal Business Name | MEMORIAL SLOAN KETTERING CANCER CENTER
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 1275 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 917-902-9758
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RADIOLOGY FELLOW
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Name | CORINNE LIU
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Credential | MD
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Telephone | 917-902-9758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 254485-1
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License Number State | NY
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