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General NPI Number Information
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NPI Number | 1639538002
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Entity Type | Organization
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Legal Business Name | COLUMBIA UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 630 W 168TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone | 646-317-1212
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Fax | 212-342-3010
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Provider Business Mailing Address
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Address Line | 630 W 168TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone | 646-317-1212
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Fax | 212-342-3010
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Authorized Official
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Title or Position | SENIOR VP AND CHIEF OFFICER
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Name | MR. MARK MCDOUGLE
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Credential |
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Telephone | 212-305-6607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 270533-1
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License Number State | NY
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