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General NPI Number Information
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NPI Number | 1699958983
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Entity Type | Organization
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Legal Business Name | NORTH SHORE LONG ISLAND JEWISH HEALTH SYSTEM
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 27005 76TH AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1433
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Country | US
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Telephone | 516-734-8008
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Fax | 516-734-8005
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Provider Business Mailing Address
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Address Line | 43 DAIL ST
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-2434
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Country | US
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Telephone | 516-385-4156
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Fax | 516-385-4156
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Authorized Official
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Title or Position | ANP
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Name | MRS. BEENA P KUMAR
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Credential | NP
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Telephone | 516-385-4156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | F304779
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License Number State | NY
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