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General NPI Number Information
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NPI Number | 1598965261
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Entity Type | Organization
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Legal Business Name | FLUSHING HOSPITAL MEDICAL CENTER
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | FLUSHING HOSPITAL MEDICAL CENTER 45 AVE AT PARSONS BLVD
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-670-5535
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Fax |
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Provider Business Mailing Address
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Address Line | 3724 S VILLAGE DR
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City | AVENEL
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State | NJ
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Zip | 07001-1074
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Country | US
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Telephone | 732-669-7021
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Fax | 732-669-7021
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Authorized Official
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Title or Position | CHAIRMAN,DEPT. OF PEDIATRICS
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Name | SUSANA RAPAPORT
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Credential | M.D
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Telephone | 718-670-5535
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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 | 237884
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License Number State | NY
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