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General NPI Number Information
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NPI Number | 1639278179
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Entity Type | Organization
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Legal Business Name | MOUNT SINAI MEDICAL CENTER
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 4300 ALTON RD ASCHER BLDG, 2ND FLOOR, MGD CARE CONTRACTING
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2800
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Country | US
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Telephone | 305-674-3977
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 ALTON RD ASCHER BLDG, 2ND FLOOR, MGD CARE CONTRACTING
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2800
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Country | US
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Telephone | 305-674-3977
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Fax |
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Authorized Official
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Title or Position | VP-FINANCE
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Name | WAYNE CHUTKAN
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Credential |
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Telephone | 305-674-2662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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