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General NPI Number Information
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NPI Number | 1710145776
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Entity Type | Organization
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Legal Business Name | MEMORIAL SLOAN-KETTERING CANCER CENTER
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 475 MAIN ST #11B
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City | NEW YORK
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State | NY
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Zip | 10044-0085
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Country | US
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Telephone | 347-622-2284
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Fax |
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Provider Business Mailing Address
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Address Line | 475 MAIN ST #11B
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City | NEW YORK
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State | NY
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Zip | 10044-0085
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Country | US
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Telephone | 347-622-2284
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MS. CARRIE THORNTON MARSHALL
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Credential | ACNP
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Telephone | 212-639-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 430352
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License Number State | NY
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