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General NPI Number Information
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NPI Number | 1710040787
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Entity Type | Organization
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Legal Business Name | NYU HOSPITAL FOR JIONT DISEASES
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 301 E 17TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-3804
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Country | US
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Telephone | 212-598-6415
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Fax |
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Provider Business Mailing Address
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Address Line | 1497 3RD AVE #2B
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City | NEW YORK
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State | NY
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Zip | 10028-2117
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Country | US
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Telephone | 212-861-8777
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Fax |
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Authorized Official
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Title or Position | ATTENDING PHYSICIAN
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Name | XUEMEI QU
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Credential | MD
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Telephone | 212-598-6414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 216853
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License Number State | NY
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