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General NPI Number Information
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NPI Number | 1710261656
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Entity Type | Organization
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Legal Business Name | TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK CARDIOLOGY ASS
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 19 BRADHURST AVE SUITE 700
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City | HAWTHORNE
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State | NY
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Zip | 10532-2140
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Country | US
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Telephone | 914-593-7800
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Fax | 914-593-7857
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Provider Business Mailing Address
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Address Line | 19 BRADHURST AVE SUITE 700
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City | HAWTHORNE
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State | NY
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Zip | 10532-2140
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Country | US
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Telephone | 914-593-7800
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Fax | 914-593-7857
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Authorized Official
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Title or Position | SVP/ CHIEF OPERATING OFFICER
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Name | 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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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