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General NPI Number Information
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NPI Number | 1619218872
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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 | 03/12/2013
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 327 E 17TH ST 1ST AVENUE AT 16
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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 | 212-420-2953
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Fax |
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Provider Business Mailing Address
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Address Line | 3 STUYVESANT OVAL APT 5C
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City | NEW YORK
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State | NY
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Zip | 10009-2122
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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 | NURSE MANAGER
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Name | CHRISTINE DIANE MAHONEY
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Credential | RN
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Telephone | 212-420-2953
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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 | 495125
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License Number State | NY
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