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General NPI Number Information
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NPI Number | 1629234133
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Entity Type | Individual
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Provider Name | PHILIP NORMAN CORT RPA-C
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Gender | Male
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 08/25/2011
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Provider Practice Location Address
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Address Line | 710 W 168TH ST FL 4 NEW YORK PRESBYTERIAN HOSPITAL
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City | NEW YORK
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State | NY
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Zip | 10032-3726
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Country | US
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Telephone | 212-305-3260
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Fax | 212-305-9844
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Provider Business Mailing Address
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Address Line | 95 WINTHROP AVE
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City | ELMSFORD
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State | NY
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Zip | 10523-1909
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Country | US
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Telephone | 914-261-8630
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Fax | 914-593-7104
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 012626-1
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License Number State | NY
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