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General NPI Number Information
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NPI Number | 1609193309
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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 | 04/21/2010
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 350 E 17TH STREET 18TH FLOOR DEPARTMENT OF NEPHROLOGY
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 212-420-4063
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Fax |
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Provider Business Mailing Address
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Address Line | 353 E 17TH ST APT 23H
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City | NEW YORK
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State | NY
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Zip | 10003-3839
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Country | US
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Telephone | 917-359-9459
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Fax |
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Authorized Official
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Title or Position | GME
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Name | MS. GALE CANTOR
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Credential |
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Telephone | 212-420-2000
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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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