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General NPI Number Information
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NPI Number | 1598258865
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Entity Type | Organization
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Legal Business Name | NORTHERN WESTCHESTER FACILITY PROJECT LLC
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 2651 STRANG BLVD STE 101
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-2941
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Country | US
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Telephone | 914-962-0246
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Fax |
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Provider Business Mailing Address
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Address Line | 2651 STRANG BLVD STE 101
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-2941
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Country | US
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Telephone | 914-962-0246
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JAKE SEBASTIAN
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Credential |
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Telephone | 914-962-0246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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