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General NPI Number Information
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NPI Number | 1720019995
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Entity Type | Organization
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Legal Business Name | NORTH SHORE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 03/15/2021
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Provider Practice Location Address
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Address Line | 1100 NW 95TH ST
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City | MIAMI
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State | FL
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Zip | 33150-2038
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Country | US
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Telephone | 305-835-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 740926
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City | ATLANTA
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State | GA
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Zip | 30374-0926
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Country | US
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Telephone | 561-982-2189
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Fax | 305-835-6163
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Authorized Official
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Title or Position | VP OF GOVT PROGRAMS, TENET
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Name | MR. CRAIG C. ARMIN
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Credential |
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Telephone | 818-436-2267
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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 | 4133
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License Number State | FL
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