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General NPI Number Information
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NPI Number | 1689405060
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Entity Type | Organization
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Legal Business Name | SAINT VINCENT'S MEDICAL CENTER
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 2800 MAIN ST
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City | BRIDGEPORT
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State | CT
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Zip | 06606-4292
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Country | US
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Telephone | 203-576-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 344 ELL RD
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City | HILLSDALE
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State | NJ
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Zip | 07642-1237
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Country | US
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Telephone | 973-820-1029
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | ROBYN ROZNITSKY
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Credential |
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Telephone | 973-820-1029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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